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General NPI Number Information
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NPI Number | 1902019276
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Entity Type | Individual
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Provider Name | PHYLLIS TOPOL PHD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 W 86 ST SUITE 1J
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 917-533-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 91 CENTRAL PARK WEST
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City | NEW YORK
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State | NY
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Zip | 10023-4600
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Country | US
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Telephone | 212-721-2151
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Fax | 212-721-0892
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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 | 007140 1
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License Number State | NY
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