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General NPI Number Information
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NPI Number | 1538267380
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Entity Type | Individual
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Provider Name | PHILIP BARRIE LULOFF MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 240 CENTRAL PARK SOUTH SUITE 40
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City | NEW YORK
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State | NY
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Zip | 10019-1453
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Country | US
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Telephone | 212-757-6650
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Fax | 212-246-3691
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Provider Business Mailing Address
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Address Line | 240 CENTRAL PARK SOUTH SUITE 93
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City | NEW YORK
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State | NY
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Zip | 10019-1453
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Country | US
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Telephone | 212-757-6650
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Fax | 212-246-3691
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 126341-1
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License Number State | NY
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