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General NPI Number Information
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NPI Number | 1730517913
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Entity Type | Organization
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Legal Business Name | ADRIENNE W. KATZOW, PHD, CLINICAL PSYCHOLOGIST, PLLC
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 113 UNIVERSITY PL 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10003-4527
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Country | US
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Telephone | 347-708-6580
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Fax |
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Provider Business Mailing Address
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Address Line | 113 UNIVERSITY PL 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10003-4527
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Country | US
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Telephone | 347-708-6580
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST (OWNER OF ORG
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Name | DR. ADRIENNE W. KATZOW
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Credential | PH.D.
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Telephone | 347-708-6580
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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 | 019189-1
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License Number State | NY
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