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General NPI Number Information
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NPI Number | 1508296799
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Entity Type | Organization
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Legal Business Name | COMPLETE PSYCHOLOGICAL SERVICES, PC
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 660 WHITE PLAINS RD 630
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City | TARRYTOWN
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State | NY
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Zip | 10591-5139
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Country | US
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Telephone | 914-323-0345
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Fax | 914-219-3173
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Provider Business Mailing Address
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Address Line | 660 WHITE PLAINS RD 630
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City | TARRYTOWN
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State | NY
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Zip | 10591-5139
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Country | US
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Telephone | 914-323-0345
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Fax | 914-219-3173
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. MARK IAN WEINBERGER
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Credential | PHD
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Telephone | 914-323-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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