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General NPI Number Information
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NPI Number | 1699280875
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Entity Type | Individual
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Provider Name | ALINA PAVLAKOS PHD
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Gender | Female
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Dates
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Enumeration Date | 12/09/2017
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 10 NATHAN D PERLMAN PL
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City | NEW YORK
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State | NY
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Zip | 10003-3851
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Country | US
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Telephone | 212-844-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 10 NATHAN D PERLMAN PLACE BERNSTEIN, 2ND FLOOR, OFFICE 51
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City | NEW YORK
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State | NY
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Zip | 10003-3851
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Country | US
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Telephone | 212-844-1922
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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 | 022501
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License Number State | NY
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