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General NPI Number Information
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NPI Number | 1609846187
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Entity Type | Individual
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Provider Name | EMILIAN MIHAILA PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 166-10 ARCHER AVENUE SUITE A21
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City | JAMAICA
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State | NY
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Zip | 11432-1140
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Country | US
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Telephone | 718-883-6562
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Fax | 718-883-6503
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Provider Business Mailing Address
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Address Line | 16610 ARCHER AVE
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City | JAMAICA
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State | NY
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Zip | 11433-1146
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Country | US
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Telephone | 718-883-6562
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Fax | 718-883-6503
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 016624
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 016624
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 016624
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 016624
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016624
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License Number State | NY
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