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General NPI Number Information
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NPI Number | 1528515459
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Entity Type | Organization
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Legal Business Name | EPITOME MIND FRAME, LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 153 W 27TH ST STE 301
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City | NEW YORK
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State | NY
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Zip | 10001-6259
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Country | US
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Telephone | 917-520-8255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 905
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City | NEW YORK
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State | NY
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Zip | 10008-0905
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Country | US
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Telephone | 917-520-8255
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LINDA ESCOBAR OLSZEWSKI
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Credential | PSYD
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Telephone | 917-520-8255
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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 |
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License Number State |
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