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General NPI Number Information
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NPI Number | 1174711485
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Entity Type | Organization
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Legal Business Name | ALTOONIAN COUNSELING
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 1640 ROUTE 104
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City | ONTARIO
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State | NY
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Zip | 14519-8935
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Country | US
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Telephone | 315-524-3589
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Fax | 585-467-6878
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Provider Business Mailing Address
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Address Line | 107 DRUID HILL PARK
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City | ROCHESTER
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State | NY
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Zip | 14609-3151
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Country | US
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Telephone | 585-467-5930
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Fax | 585-467-6878
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ANN ALTOONIAN
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Credential | PSY.D.
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Telephone | 585-467-5930
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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 | 012371
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License Number State | NY
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