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General NPI Number Information
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NPI Number | 1487631875
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Entity Type | Individual
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Provider Name | LAUREN S. CARUSO PHD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 244 WESTCHESTER AVE SUITE 315
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City | WHITE PLAINS
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State | NY
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Zip | 10604-2907
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Country | US
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Telephone | 212-717-2711
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Fax | 914-946-1527
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Provider Business Mailing Address
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Address Line | 215 E 79TH ST SUITE 8A
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City | NEW YORK
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State | NY
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Zip | 10021-0847
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Country | US
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Telephone | 212-717-2711
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Fax | 914-946-1527
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 012539
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License Number State | NY
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