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General NPI Number Information
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NPI Number | 1972131092
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Entity Type | Individual
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Provider Name | MRS. JAMIE HOROWITZ
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Gender | Female
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 450 FASHION AVE STE 408
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City | NEW YORK
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State | NY
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Zip | 10123-0402
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Country | US
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Telephone | 914-393-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 29 GLENDALE AVE
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City | ARMONK
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State | NY
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Zip | 10504-1918
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Country | US
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Telephone | 914-393-0820
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1392999201
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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