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General NPI Number Information
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NPI Number | 1770264145
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Entity Type | Organization
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Legal Business Name | SNOW PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 217 ELM ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3222
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Country | US
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Telephone | 516-331-0187
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Fax |
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Provider Business Mailing Address
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Address Line | 217 ELM ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3222
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOV SNOW
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Credential |
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Telephone | 516-331-0187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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