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General NPI Number Information
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NPI Number | 1972440253
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Entity Type | Individual
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Provider Name | BRIGITTE PACE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 428 E 72ND ST OFC 500
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City | NEW YORK
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State | NY
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Zip | 10021-0600
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Country | US
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Telephone | 716-597-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 216 E 29TH ST APT 1B
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City | NEW YORK
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State | NY
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Zip | 10016-8595
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 027923
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License Number State | NY
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