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General NPI Number Information
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NPI Number | 1639232572
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Entity Type | Individual
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Provider Name | TAL LEE PSY.D., LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 10 DOWNING ST 1P
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City | NEW YORK
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State | NY
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Zip | 10014-4734
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Country | US
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Telephone | 212-366-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 10 DOWNING ST 1P
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City | NEW YORK
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State | NY
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Zip | 10014-4734
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Country | US
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Telephone | 212-366-6778
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 060059-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 018061
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 018061
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License Number State | NY
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