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General NPI Number Information
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NPI Number | 1992067847
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Entity Type | Organization
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Legal Business Name | THOMAS J SCHATTNER, PHD
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 201 BRYSON AVE #1
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1922
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Country | US
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Telephone | 917-526-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BRYSON AVE #1
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1922
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Country | US
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Telephone | 917-526-2020
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. THOMAS J SCHATTNER
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Credential | PSY.D.
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Telephone | 917-526-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0168661
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License Number State | NY
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