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General NPI Number Information
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NPI Number | 1548923550
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Entity Type | Individual
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Provider Name | BILHA GOLDBERG LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/17/2021
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Last Update Date | 10/17/2021
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Provider Practice Location Address
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Address Line | 780 KING ST
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3812
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Country | US
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Telephone | 914-238-5332
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Fax | 914-238-5332
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Provider Business Mailing Address
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Address Line | 780 KING ST
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3812
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Country | US
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Telephone | 914-238-5332
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Fax | 914-238-5332
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | L015125
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License Number State | NY
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