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General NPI Number Information
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NPI Number | 1750400727
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Entity Type | Individual
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Provider Name | ANDREA LYNN KATZ PH. D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 W 64TH ST SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10023-6734
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Country | US
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Telephone | 212-721-3809
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Fax |
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Provider Business Mailing Address
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Address Line | 215 MIDDLE NECK RD 16-3A
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City | GREAT NECK
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State | NY
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Zip | 11021-1135
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Country | US
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Telephone | 516-466-5967
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 009688
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License Number State | NY
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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 | PY 6206
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License Number State | FL
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