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General NPI Number Information
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NPI Number | 1073669875
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Entity Type | Organization
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Legal Business Name | INTEGRATED THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 2938 BAYSWATER AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1730
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Country | US
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Telephone | 631-433-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 2938 BAYSWATER AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1730
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Country | US
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Telephone | 631-433-0033
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH LEHRFELD
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Credential | LMSW
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Telephone | 631-433-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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