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General NPI Number Information
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NPI Number | 1043628605
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Entity Type | Individual
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Provider Name | RAUL A. GARCIA PH.D., LP
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Gender | Male
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 16 WEST 10TH STREET C/O CMPS
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 973-879-8953
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Fax |
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Provider Business Mailing Address
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Address Line | 16 W. 10TH ST. C/O CMPS
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone |
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 000382-1
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License Number State | NY
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