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General NPI Number Information
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NPI Number | 1578650156
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Entity Type | Organization
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Legal Business Name | PAUL A. GREENE, PHD PSYCHOLOGIST PC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 68 LAMBERT LN
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-1010
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Country | US
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Telephone | 914-235-6171
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Fax |
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Provider Business Mailing Address
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Address Line | 68 LAMBERT LN
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-1010
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Country | US
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Telephone | 914-235-6171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL ARTHUR GREENE
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Credential | PH.D.
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Telephone | 914-235-6171
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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 | 005968
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License Number State | NY
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