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General NPI Number Information
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NPI Number | 1689947673
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Entity Type | Individual
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Provider Name | KOMAL L CHOKSI PHD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 80 E 11TH ST #509
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City | NEW YORK
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State | NY
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Zip | 10003-6811
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Country | US
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Telephone | 646-209-6196
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Fax |
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Provider Business Mailing Address
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Address Line | 80 EAST 11TH STREET STE 509
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City | NEW YORK
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State | NY
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Zip | 10003-6811
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Country | US
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Telephone | 646-209-6196
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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 | 68-020231
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License Number State | NY
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