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General NPI Number Information
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NPI Number | 1871509117
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Entity Type | Individual
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Provider Name | SARA ELIZABETH OPPENHEIM PHD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 159 WEST 53RD STREET SUITE 33H
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-765-7948
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Fax |
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Provider Business Mailing Address
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Address Line | 165 PINEHURST AVENUE #3G
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City | NEW YORK
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State | NY
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Zip | 10033
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Country | US
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Telephone | 212-740-8237
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 013135-1
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License Number State | NY
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