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General NPI Number Information
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NPI Number | 1861863862
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Entity Type | Organization
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Legal Business Name | MERRY FRONS PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 280 MADISON AVE SUITE 308
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 917-740-5514
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Fax |
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Provider Business Mailing Address
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Address Line | 280 MADISON AVE SUITE 308
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 917-740-5514
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. MERRY FRONS
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Credential | PHD, LCSW
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Telephone | 203-803-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0535341
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License Number State | NY
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