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General NPI Number Information
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NPI Number | 1053850107
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Entity Type | Organization
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Legal Business Name | POSTORINO PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 707 ALEXANDER RD SUITE 208
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City | PRINCETON
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State | NJ
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Zip | 08540-6331
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Country | US
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Telephone | 973-679-7185
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Fax |
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Provider Business Mailing Address
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Address Line | 707 ALEXANDER RD SUITE 208
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City | PRINCETON
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State | NJ
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Zip | 08540-6331
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Country | US
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Telephone | 973-679-7185
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LIA POSTORINO
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Credential |
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Telephone | 973-679-7185
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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 | 35SI00566500
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License Number State | NJ
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