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General NPI Number Information
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NPI Number | 1477979524
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Entity Type | Individual
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Provider Name | STACY POPKIN-ZANG PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 70 GLEN COVE RD
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1726
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Country | US
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Telephone | 631-626-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 1279 DORSET PL
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2301
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Country | US
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Telephone | 631-626-5186
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 020512
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License Number State | NY
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