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General NPI Number Information
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NPI Number | 1922163740
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Entity Type | Individual
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Provider Name | MARY-THOMAS TURNOCK PHD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 23 OLD MAMARONECK RD STE 2
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2061
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Country | US
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Telephone | 914-834-3889
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Fax | 914-834-3889
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Provider Business Mailing Address
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Address Line | 152 VALLEY STREAM RD E
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City | LARCHMONT
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State | NY
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Zip | 10538-1743
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Country | US
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Telephone | 914-834-3889
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Fax | 914-834-3889
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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 | 007668-1
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License Number State | NY
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