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NPI 1881353076

NPI 1881353076 : PAUL KREBS PSYCHOLOGIST, APC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1881353076
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    Entity Type          |    Organization 
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    Legal Business Name  |    PAUL KREBS PSYCHOLOGIST, APC 
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Dates
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    Enumeration Date     |    12/15/2021
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    Last Update Date     |    06/07/2023
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Provider Practice Location Address
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    Address Line         |    444 W 35TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10001-1555
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    Country              |    US
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    Telephone            |    646-820-7477
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2017 LAPEYROUSE ST 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70116-1742
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    Country              |    US
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    Telephone            |    646-820-7477
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     PAUL  KREBS 
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    Credential           |    
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    Telephone            |    401-743-1656
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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       |    
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    License Number State |    
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