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General NPI Number Information
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NPI Number | 1407828049
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Entity Type | Individual
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Provider Name | LEWIS JOSHUA MALGIERI PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 103 PINELEDGE DR
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City | CAMILLUS
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State | NY
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Zip | 13031-2017
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Country | US
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Telephone | 315-487-2951
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S.FIRST ST STE 3
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City | FULTON
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State | NY
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Zip | 13069-4911
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Country | US
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Telephone | 315-529-3758
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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 | 14813
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License Number State | NY
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