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General NPI Number Information
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NPI Number | 1821334277
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Entity Type | Individual
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Provider Name | JULIE KOLZET PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 30 E 76TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10021-2765
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Country | US
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Telephone | 646-481-5619
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E 76TH ST 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-2700
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Country | US
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Telephone | 917-287-4774
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019790
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 019790
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019790
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | 019790
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License Number State | NY
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