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General NPI Number Information
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NPI Number | 1326445255
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Entity Type | Organization
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Legal Business Name | JANE GAUGHRAN, PHD
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 51 BEDFORD RD
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City | KATONAH
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State | NY
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Zip | 10536-2135
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Country | US
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Telephone | 914-767-0056
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Fax | 212-732-3232
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Provider Business Mailing Address
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Address Line | 51 BEDFORD RD
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City | KATONAH
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State | NY
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Zip | 10536-2135
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Country | US
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Telephone | 914-767-0056
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Fax | 212-732-3232
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Authorized Official
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Title or Position | PRINCIPAL
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Name | JANE GAUGHRAN
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Credential | PHD
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Telephone | 914-767-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 0009676
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License Number State | NY
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