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General NPI Number Information
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NPI Number | 1174056162
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Entity Type | Organization
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Legal Business Name | RAJJ CLINICAL PSYCHOLOGY, P.C.
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 45 POPHAM RD FL 1
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City | SCARSDALE
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State | NY
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Zip | 10583-4252
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Country | US
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Telephone | 914-242-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 45 POPHAM RD FL 1
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City | SCARSDALE
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State | NY
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Zip | 10583-4252
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Country | US
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Telephone | 914-242-2060
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. ROBIN JILTON
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Credential | PHD
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Telephone | 914-242-2060
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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 | 015191
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License Number State | NY
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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 | 013562
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License Number State | NY
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