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General NPI Number Information
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NPI Number | 1821114885
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Entity Type | Individual
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Provider Name | SUSAN ELLYN ORINGEL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 200 DELAWARE AVE
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City | DELMAR
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State | NY
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Zip | 12054-1227
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Country | US
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Telephone | 518-439-0090
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Fax | 518-439-0267
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Provider Business Mailing Address
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Address Line | 200 DELAWARE AVE
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City | DELMAR
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State | NY
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Zip | 12054-1227
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Country | US
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Telephone | 518-439-0090
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Fax | 518-439-0267
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7506-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 7506-1
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License Number State | NY
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