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General NPI Number Information
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NPI Number | 1902993835
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Entity Type | Individual
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Provider Name | JILL T SILVERMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 239 GLENVILLE RD
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City | GREENWICH
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State | CT
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Zip | 06831-4172
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Country | US
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Telephone | 203-532-1755
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Fax | 203-532-1518
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Provider Business Mailing Address
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Address Line | 12 ACORN LN
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-5316
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Country | US
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Telephone | 914-261-4484
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 002438
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 015161
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License Number State | NY
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