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General NPI Number Information
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NPI Number | 1558446054
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Entity Type | Individual
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Provider Name | LAWRENCE SEAN SCHWARTZ PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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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 S SUITE 2P
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City | NEW YORK
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State | NY
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Zip | 10019-1457
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Country | US
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Telephone | 212-946-1051
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Fax | 914-693-3693
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Provider Business Mailing Address
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Address Line | 77 VIRGINIA AVE
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1915
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Country | US
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Telephone | 914-693-3693
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Fax | 914-693-3693
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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 | 012758
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License Number State | NY
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