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General NPI Number Information
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NPI Number | 1790502995
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Entity Type | Individual
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Provider Name | KENDALL ANN PFEFFER PHD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 345 E 102ND ST STE 215
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City | NEW YORK
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State | NY
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Zip | 10029-5615
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Country | US
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Telephone | 212-241-8462
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MAYFAIR RD
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City | ELMSFORD
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State | NY
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Zip | 10523-2908
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Country | US
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Telephone | 917-860-6066
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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 | 027580
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License Number State | NY
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