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General NPI Number Information
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NPI Number | 1841561065
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Entity Type | Individual
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Provider Name | PATRICIA THORNTON PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/23/2016
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Provider Practice Location Address
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Address Line | 171 MADISON AVE RM 1000
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City | NEW YORK
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State | NY
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Zip | 10016-5121
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Country | US
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Telephone | 203-644-7767
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 PARK AVE 12D
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City | NEW YORK
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State | NY
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Zip | 10128-1008
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Country | US
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Telephone | 203-644-7767
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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 | 010674-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1675
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License Number State | CT
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