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General NPI Number Information
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NPI Number | 1811655319
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Entity Type | Organization
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Legal Business Name | ANDREW L STEIN
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 514 BAY RIDGE PKWY APT 2F
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City | BROOKLYN
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State | NY
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Zip | 11209-3345
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Country | US
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Telephone | 646-620-1286
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Fax |
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Provider Business Mailing Address
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Address Line | 40 W 13TH ST # NA
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City | NEW YORK
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State | NY
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Zip | 10011-7940
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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 | CLINICAL PSYCHOLOGIST
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Name | ANDREW L STEIN
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Credential |
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Telephone | 646-620-1286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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