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General NPI Number Information
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NPI Number | 1720134935
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Entity Type | Individual
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Provider Name | SUSAN FRANCES ABBOTT MD
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Gender | Female
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 30 E END AVE APARTMENT 1 B
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City | NEW YORK
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State | NY
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Zip | 10028-7053
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Country | US
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Telephone | 631-379-8294
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Fax |
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Provider Business Mailing Address
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Address Line | ONE GUSTAVE L LEVY PLACE BOX 1230 MOUNT SINAI HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-659-8881
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Fax | 212-849-2500
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 174521
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 174521
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License Number State | NY
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