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General NPI Number Information
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NPI Number | 1336247394
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Entity Type | Individual
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Provider Name | PAUL T AQUINO PHD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 126 CHELSEA RD
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-5454
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Country | US
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Telephone | 914-474-6651
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Fax | 845-838-0536
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Provider Business Mailing Address
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Address Line | 126 CHELSEA RD
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-5454
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Country | US
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Telephone | 914-474-6651
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Fax | 845-838-0536
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 012728-1
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License Number State | NY
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