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General NPI Number Information
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NPI Number | 1932400140
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Entity Type | Organization
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Legal Business Name | ST.VINCENT' HOSPITAL WESTCHESTER PSYCH
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 275 NORTH ST
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City | HARRISON
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State | NY
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Zip | 10528-1524
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Country | US
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Telephone | 914-925-5333
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Fax | 914-925-5136
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Provider Business Mailing Address
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Address Line | 275 NORTH ST
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City | HARRISON
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State | NY
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Zip | 10528-1524
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Country | US
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Telephone | 914-925-5333
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Fax | 914-925-5136
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Authorized Official
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Title or Position | V.P. FINANCE BH
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Name | KIM PAGAN
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Credential |
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Telephone | 914-925-5333
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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 | NY
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State | NY
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