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General NPI Number Information
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NPI Number | 1992759518
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Entity Type | Individual
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Provider Name | MARGARET P KENNEDY PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35 MASON ST STE 214
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City | GENEVA
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State | NY
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Zip | 14456
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Country | US
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Telephone | 315-781-6617
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Fax | 315-781-5457
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Provider Business Mailing Address
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Address Line | 3 DELANCEY DR
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City | GENEVA
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State | NY
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Zip | 14456
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Country | US
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Telephone | 315-781-1612
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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 | 010038
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License Number State | NY
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