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General NPI Number Information
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NPI Number | 1609105733
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Entity Type | Individual
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Provider Name | RHONDA J FACTOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2009
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 41 - 51 EAST 11TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4600
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Country | US
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Telephone | 347-834-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 487 12TH ST APT. 2R
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City | BROOKLYN
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State | NY
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Zip | 11215-5242
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Country | US
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Telephone | 347-834-6057
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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 | 68 018102
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License Number State | NY
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