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General NPI Number Information
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NPI Number | 1699804963
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Entity Type | Individual
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Provider Name | LYNN SOMERSTEIN ABD
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 E 84TH ST APT 2P
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City | NEW YORK
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State | NY
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Zip | 10028-2032
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Country | US
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Telephone | 212-861-6818
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Fax | 212-348-4165
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Provider Business Mailing Address
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Address Line | 150 E 84TH ST APT 2P
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City | NEW YORK
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State | NY
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Zip | 10028-2032
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Country | US
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Telephone | 212-861-6818
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Fax | 212-348-4165
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | LP00149
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License Number State | NY
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