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General NPI Number Information
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NPI Number | 1518681063
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Entity Type | Organization
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Legal Business Name | ONLY-CONNECT PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 225 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11230-4691
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Country | US
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Telephone | 646-688-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 BROADWAY FL 2
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City | NEW YORK
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State | NY
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Zip | 10001-4482
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SHANI GRUNSFELD
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Credential | PH.D
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Telephone | 646-688-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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