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General NPI Number Information
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NPI Number | 1982777827
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Entity Type | Individual
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Provider Name | HERBERT BILICK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 1 W 85TH ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10024-4134
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Country | US
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Telephone | 212-595-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 303 W ENGLEWOOD AVE
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City | TEANECK
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State | NJ
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Zip | 07666-2851
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Country | US
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Telephone | 201-833-4468
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 004349-01
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License Number State | NY
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