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General NPI Number Information
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NPI Number | 1730691387
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Entity Type | Individual
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Provider Name | DAVID ALTABEF PH.D
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Gender | Male
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 26 S PROSPECT ST STE 11
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City | AMHERST
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State | MA
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Zip | 01002-2268
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Country | US
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Telephone | 516-978-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 149 ELM ST APT 4
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2926
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Country | US
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Telephone | 516-978-1818
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 10708
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License Number State | MA
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