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General NPI Number Information
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NPI Number | 1699875948
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Entity Type | Individual
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Provider Name | CHERIE LYNN VILLANO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 WEST 57TH ST. STE. 501
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 917-446-3157
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 FOSTER AVE #6D
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City | BROOKLYN
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State | NY
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Zip | 11230-1834
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Country | US
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Telephone | 718-421-5022
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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 | 016259
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License Number State | NY
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