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General NPI Number Information
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NPI Number | 1033380076
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Entity Type | Individual
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Provider Name | JANETTE ROSALIA RAMOS-ACOSTA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 1110 SOUTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3403
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Country | US
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Telephone | 609-795-1997
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ASPEN KNOLLS WAY APT B3
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City | STATEN ISLAND
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State | NY
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Zip | 10312-6625
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Country | US
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Telephone | 718-812-8314
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016798
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License Number State | NY
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