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General NPI Number Information
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NPI Number | 1548652563
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Entity Type | Organization
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Legal Business Name | ROBERT SEILER, PH.D. PSYCHOLOGIST ,PC
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 27 BOLAN DR
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2823
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Country | US
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Telephone | 631-673-5858
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Fax | 631-547-0989
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Provider Business Mailing Address
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Address Line | 27 BOLAN DR
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2823
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Country | US
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Telephone | 631-673-5858
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Fax | 631-547-0989
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT SEILER
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Credential |
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Telephone | 631-673-5858
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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 | 008752-1
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License Number State | NY
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