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General NPI Number Information
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NPI Number | 1528126281
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Entity Type | Individual
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Provider Name | BERNARD CHARLES WOYCHOWSKI PHD CLINICAL PSYCHOL
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 44 PURCHASE STREET
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City | RYE
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State | NY
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Zip | 10580
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Country | US
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Telephone | 914-937-2842
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Fax | 914-939-2533
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Provider Business Mailing Address
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Address Line | 40 WINDSOR ROAD
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City | RYE BROOK
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State | NY
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Zip | 10573
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Country | US
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Telephone | 914-937-2842
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Fax | 914-939-2533
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0111401
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License Number State | NY
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