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General NPI Number Information
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NPI Number | 1306068689
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Entity Type | Organization
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Legal Business Name | TESTING INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 NORTH BROADWAY SUITE 2
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City | WHITE PLAINS
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State | NY
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Zip | 10603
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Country | US
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Telephone | 914-683-5208
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Fax | 914-683-5223
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Provider Business Mailing Address
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Address Line | 901 NORTH BROADWAY SUITE 2
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City | WHITE PLAINS
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State | NY
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Zip | 10603
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Country | US
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Telephone | 914-683-5208
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Fax | 914-683-5223
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURENCE S. BAKER
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Credential | PH.D.
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Telephone | 914-683-5208
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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 | 000343-1
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License Number State | NY
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