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General NPI Number Information
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NPI Number | 1598737447
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Entity Type | Individual
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Provider Name | DR. ANNE MARIE FATONE
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Gender | Female
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Dates
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Enumeration Date | 02/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1160 5TH AVE SUITE 112
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City | NEW YORK
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State | NY
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Zip | 10029-6928
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Country | US
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Telephone | 212-427-9163
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Fax |
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Provider Business Mailing Address
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Address Line | 444 E 86TH ST APT. 27E
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City | NEW YORK
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State | NY
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Zip | 10028-6458
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Country | US
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Telephone | 212-249-2703
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 015305
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License Number State | NY
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