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General NPI Number Information
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NPI Number | 1114636503
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Entity Type | Organization
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Legal Business Name | JOSEPH GIARDINO PHD
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 25 CENTRAL PARK W APT 1I
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City | NEW YORK
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State | NY
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Zip | 10023-7206
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Country | US
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Telephone | 347-709-9650
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CENTRAL PARK W APT 1I
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City | NEW YORK
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State | NY
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Zip | 10023-7206
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Country | US
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Telephone | 347-709-9650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH GIARDINO
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Credential | PHD
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Telephone | 347-709-9650
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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 |
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License Number State |
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