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General NPI Number Information
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NPI Number | 1073727061
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Entity Type | Individual
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Provider Name | JOYCE H DAMINO PHD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4250 EAST HEMPSTEAD TPK SUITE 12LL
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City | BETHPAGE
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State | NY
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Zip | 11714-5711
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Country | US
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Telephone | 516-579-5945
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BROWER AVENUE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4428
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Country | US
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Telephone | 516-766-7182
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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 | 010956
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License Number State | NY
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