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General NPI Number Information
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NPI Number | 1730589250
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Entity Type | Individual
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Provider Name | JOSHUA ZVI TAL PHD
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Gender | Male
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 49 W 86TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-3601
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Country | US
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Telephone | 347-466-7432
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Fax |
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Provider Business Mailing Address
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Address Line | 116 PALMER AVE
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City | TENAFLY
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State | NJ
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Zip | 07670-2634
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Country | US
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Telephone | 347-466-7432
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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 | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022259
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License Number State | NY
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