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General NPI Number Information
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NPI Number | 1477895738
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Entity Type | Organization
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Legal Business Name | DR JOY CANFIELD PSYCHOLOGY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 420 LEXINGTON AVE RM 300
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City | NEW YORK
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State | NY
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Zip | 10170-0002
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Country | US
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Telephone | 212-297-6115
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Fax | 212-479-2515
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Provider Business Mailing Address
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Address Line | 420 LEXINGTON AVE RM 300
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City | NEW YORK
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State | NY
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Zip | 10170-0002
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Country | US
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Telephone | 212-297-6115
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Fax | 212-479-2515
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Authorized Official
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Title or Position | OWNER
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Name | JOY CANFIELD
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Credential | PHD
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Telephone | 212-297-6115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 018056
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License Number State | NY
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