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NPI 1750684551

NPI 1750684551 : HARRIET N. MISCHEL PH.D PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1750684551
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARRIET N. MISCHEL PH.D PC 
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Dates
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    Enumeration Date     |    12/16/2010
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    Last Update Date     |    12/16/2010
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Provider Practice Location Address
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    Address Line         |    10 E 78TH ST. SUITE 5C
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10075-1734
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    Country              |    US
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    Telephone            |    212-628-8289
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    Fax                  |    212-628-1407
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Provider Business Mailing Address
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    Address Line         |    10 E 78TH ST. SUITE 5C
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10075-1734
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    Country              |    US
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    Telephone            |    212-628-8289
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    Fax                  |    212-628-1407
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Authorized Official
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    Title or Position    |    SOLE OWNER
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    Name                 |    DR. HARRIET N. MISCHEL 
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    Credential           |    PH.D.
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    Telephone            |    212-628-8289
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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       |    8013
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    License Number State |    NY
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