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General NPI Number Information
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NPI Number | 1851006050
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Entity Type | Organization
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Legal Business Name | PURPLE KEY PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 928 BROADWAY STE 304
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City | NEW YORK
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State | NY
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Zip | 10010-8154
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Country | US
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Telephone | 347-620-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 928 BROADWAY STE 304
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City | NEW YORK
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State | NY
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Zip | 10010-8154
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Country | US
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Telephone | 347-620-1617
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SAMANTHA ROGOWICZ
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Credential | PHD
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Telephone | 347-620-1617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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