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NPI 1972825727

NPI 1972825727 : ISOLDE KEILHOFER LP : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1972825727
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    Entity Type          |    Individual 
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    Provider Name        |    ISOLDE KEILHOFER LP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/22/2010
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    Last Update Date     |    02/22/2010
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Provider Practice Location Address
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    Address Line         |    412 6TH AVE SUITE 605
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10011-8409
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    Country              |    US
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    Telephone            |    212-726-0558
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    412 6TH AVE SUITE 605
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10011-8409
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    Country              |    US
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    Telephone            |    212-726-0558
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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        |    102L00000X
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    Taxonomy Name        |    Psychoanalyst
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    License Number       |    000840
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    License Number State |    NY
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