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NPI 1982677050

NPI 1982677050 : ROBERT A BLOCK PHD : GARDEN CITY, NY

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General NPI Number Information
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    NPI Number           |    1982677050
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT A BLOCK PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/09/2006
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    585 STEWART AVE STE 318 
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    City                 |    GARDEN CITY
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    State                |    NY
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    Zip                  |    11530-4701
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    Country              |    US
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    Telephone            |    516-222-8954
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    Fax                  |    516-385-8260
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Provider Business Mailing Address
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    Address Line         |    17100 N 67TH AVE STE W-401 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85308-3605
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    Country              |    US
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    Telephone            |    602-439-0475
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    Fax                  |    516-385-8260
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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       |    1029
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    License Number State |    AZ
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