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General NPI Number Information
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NPI Number | 1639231137
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Entity Type | Individual
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Provider Name | ROBERT D ROY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 132 LARCHMONT AVE SUITE 2
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City | LARCHMONT
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State | NY
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Zip | 10538-2869
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Country | US
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Telephone | 914-834-1418
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Fax | 914-834-3437
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Provider Business Mailing Address
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Address Line | 132 LARCHMONT AVE SUITE 2
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City | LARCHMONT
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State | NY
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Zip | 10538-2869
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Country | US
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Telephone | 914-834-1418
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Fax | 914-834-3437
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 177934
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License Number State | NY
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