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General NPI Number Information
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NPI Number | 1932459088
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Entity Type | Individual
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Provider Name | AMY ELIZABETH ALLISON PHD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 321 E 61ST ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10065-8204
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Country | US
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Telephone | 347-461-7430
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Fax | 929-321-7270
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Provider Business Mailing Address
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Address Line | 321 E 61ST ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10065-8204
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Country | US
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Telephone | 347-461-7430
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Fax | 929-321-7270
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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 | PSY003902
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License Number State | GA
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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 | 35SI00621600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019501-1
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License Number State | NY
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