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General NPI Number Information
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NPI Number | 1639382104
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Entity Type | Individual
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Provider Name | MARIA DEL CARMEN GRAU PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 149 W 93ST.
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City | NEW YORK CITY
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-865-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 545 WEST END AVENUE 10B
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City | NEW YORK CITY
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State | NY
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Zip | 10024
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Country | US
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Telephone | 212-865-7210
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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 | 011024
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License Number State | NY
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