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General NPI Number Information
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NPI Number | 1649965898
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL ASSESSMENTS AND CONSULTATION SERVICES, PLLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 5 W 86TH ST APT 9C
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City | NEW YORK
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State | NY
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Zip | 10024-3664
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Country | US
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Telephone | 347-696-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 700 FORT WASHINGTON AVE APT 5J
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City | NEW YORK
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State | NY
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Zip | 10040-3706
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Country | US
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Telephone | 347-696-1477
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EUGENIA DUBUS
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Credential | PH.D.
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Telephone | 347-696-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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