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General NPI Number Information
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NPI Number | 1972084028
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Entity Type | Organization
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Legal Business Name | WARREN L HUBERMAN PHD PSYCHOLOGIST PLLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 20 E 49TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10017-1080
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Country | US
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Telephone | 212-983-6225
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Fax |
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Provider Business Mailing Address
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Address Line | 20 E 49TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10017-1080
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Country | US
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Telephone | 212-983-6225
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. WARREN L HUBERMAN
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Credential | PHD
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Telephone | 212-983-6225
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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 | 012385
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License Number State | NY
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