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General NPI Number Information
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NPI Number | 1679232698
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Entity Type | Organization
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Legal Business Name | POHLMAN PSYCHOLOGY P.C.
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 7619 TREYFORD LN
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City | CHARLOTTE
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State | NC
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Zip | 28270-1306
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Country | US
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Telephone | 919-949-1224
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Fax |
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Provider Business Mailing Address
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Address Line | 228 PARK AVE S
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City | NEW YORK
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State | NY
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Zip | 10003-1502
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Country | US
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Telephone | 914-251-4158
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | DIANA HELDFOND
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Credential |
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Telephone | 914-251-4158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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