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General NPI Number Information
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NPI Number | 1558770792
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Entity Type | Organization
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Legal Business Name | THERAPY MATTERS
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 9 COW LN
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City | GREAT NECK
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State | NY
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Zip | 11024-1516
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Country | US
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Telephone | 516-225-3187
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Fax | 646-248-6111
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Provider Business Mailing Address
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Address Line | 9 COW LN
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City | GREAT NECK
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State | NY
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Zip | 11024-1516
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Country | US
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Telephone | 516-225-3187
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Fax | 646-248-6111
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHIPHRA BAKHCHI
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Credential | PHD
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Telephone | 516-225-3187
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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 | 018636
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License Number State | NY
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