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General NPI Number Information
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NPI Number | 1588821110
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Entity Type | Individual
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Provider Name | ANN MARIE SACRAMONE MSED LP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 41-51 EAST 11TH ST 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 917-515-3688
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Fax |
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Provider Business Mailing Address
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Address Line | 38 CLUBHOUSE RD
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City | PUTNAM VALLEY
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State | NY
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Zip | 10579-1509
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Country | US
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Telephone | 917-514-3688
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Fax |
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 000504
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License Number State | NY
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