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NPI 1902084635

NPI 1902084635 : KYLE TOWNSEND ARNOLD PH.D : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1902084635
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    Entity Type          |    Individual 
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    Provider Name        |    KYLE TOWNSEND ARNOLD PH.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/05/2008
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    Last Update Date     |    11/08/2021
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Provider Practice Location Address
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    Address Line         |    2601 OCEAN PKWY 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7745
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    Country              |    US
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    Telephone            |    718-616-3000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2601 OCEAN PKWY 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7791
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    Country              |    US
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    Telephone            |    718-616-5407
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    Fax                  |    718-616-5444
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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        |    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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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    017890
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    License Number State |    NY
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