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General NPI Number Information
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NPI Number | 1912621327
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Entity Type | Individual
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Provider Name | SANDY H THOMPSON PHD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 11/24/2024
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Provider Practice Location Address
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Address Line | 16 MADISON SQ W STE 918
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City | NEW YORK
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State | NY
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Zip | 10010-1627
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Country | US
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Telephone | 646-389-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MADISON SQ W STE 918
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City | NEW YORK
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State | NY
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Zip | 10010-1627
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Country | US
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Telephone | 646-389-0048
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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 | P116231
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License Number State | NY
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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 | 026140
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License Number State | NY
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