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General NPI Number Information
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NPI Number | 1629522677
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Entity Type | Individual
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Provider Name | AMANDA CHILDS PH.D
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Gender | Female
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 240 E 38TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-2708
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Country | US
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Telephone | 212-263-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E 44TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-4335
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Country | US
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Telephone | 914-772-1942
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 021375
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License Number State | NY
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