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General NPI Number Information
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NPI Number | 1710193719
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Entity Type | Organization
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Legal Business Name | LOREN M DOBBS PSYCHOLOGICAL SERVICES P C
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 25 CENTRAL PARK W SUITE 1-I
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City | NEW YORK
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State | NY
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Zip | 10023-7253
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Country | US
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Telephone | 212-582-4600
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Fax | 212-208-4540
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Provider Business Mailing Address
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Address Line | 25 CENTRAL PARK W SUITE 1-I
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City | NEW YORK
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State | NY
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Zip | 10023-7253
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Country | US
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Telephone | 212-582-4600
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Fax | 212-208-4540
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOREN MARC DOBBS
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Credential | PH.D.
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Telephone | 212-582-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 013674
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License Number State | NY
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