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General NPI Number Information
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NPI Number | 1194230839
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Entity Type | Individual
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Provider Name | RACHEL KATHERINE LEVY LOMBARA PHD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 12/04/2017
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Provider Practice Location Address
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Address Line | 11 BYRAM MEADOWS RD
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3910
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Country | US
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Telephone | 914-471-7788
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Fax | 914-471-7788
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Provider Business Mailing Address
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Address Line | 640 W 237TH ST
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City | BRONX
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State | NY
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Zip | 10463-1440
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Country | US
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Telephone | 914-471-7788
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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 | 012897-1
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License Number State | NY
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