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General NPI Number Information
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NPI Number | 1710008818
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Entity Type | Individual
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Provider Name | JOEL WEINBERGER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 SOUTH ST DERNER INSTITUTE, ADELPHI UNIVERSITY, BOX 701
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City | GARDEN CITY
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State | NY
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Zip | 11530-4801
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Country | US
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Telephone | 516-877-4816
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Fax | 516-877-4805
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Provider Business Mailing Address
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Address Line | 1 SOUTH ST DERNER INSTITUTE ADELPHI UNIVERSITY BOX 701
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-877-4816
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Fax | 516-877-4805
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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 | 1008076-1
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License Number State | NY
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