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General NPI Number Information
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NPI Number | 1699839571
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Entity Type | Individual
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Provider Name | CRAIG LITMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1926 OAKLAND AVE
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City | WANTAGH
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State | NY
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Zip | 11793-3610
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Country | US
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Telephone | 516-359-7124
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Fax | 516-781-0457
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Provider Business Mailing Address
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Address Line | 285 CEDARHURST AVE APARTMENT I3
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City | CEDARHURST
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State | NY
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Zip | 11516-1614
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Country | US
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Telephone | 516-359-7124
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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 | 013976
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License Number State | NY
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