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General NPI Number Information
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NPI Number | 1740539972
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Entity Type | Individual
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Provider Name | GLENN LEE ALBRIGHT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 55 LEXINGTON AVE DEPARTMENT OF PSYCHOLOGY B615
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City | NEW YORK
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State | NY
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Zip | 10010-5585
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Country | US
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Telephone | 646-312-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 58 MILLBROOK RD
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City | BEDFORD
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State | NY
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Zip | 10506-1705
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Country | US
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Telephone | 914-234-2782
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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 | 011442
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License Number State | NY
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