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General NPI Number Information
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NPI Number | 1932419579
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 1841 BROADWAY FL 4
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City | NEW YORK
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State | NY
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Zip | 10023-7603
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Country | US
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Telephone | 212-333-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 9 EAST 16TH STREET, 6A
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 646-479-7911
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Fax |
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Authorized Official
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Title or Position | INTERN
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Name | SUSAN ZINN
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Credential |
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Telephone | 646-479-7911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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