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General NPI Number Information
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NPI Number | 1750453767
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Entity Type | Individual
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Provider Name | LUCINDA CLARK HOTCHKISS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24302 NORTHERN BLVD JEWISH BOARD OF FAM. & CHILDR'S SERV. (PRIDE OF JUDEA)
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City | DOUGLASTON
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State | NY
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Zip | 11362-1150
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Country | US
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Telephone | 718-423-6200
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Fax | 718-423-9762
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Provider Business Mailing Address
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Address Line | 60 W 66TH ST APT. 11A
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City | NEW YORK
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State | NY
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Zip | 10023-6214
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Country | US
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Telephone | 212-877-0778
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Fax | 212-877-0778
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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 | 012384-1
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License Number State | NY
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