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General NPI Number Information
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NPI Number | 1487735643
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Entity Type | Individual
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Provider Name | CLAUDE R POMPO PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 2291 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6625
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Country | US
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Telephone | 718-605-5390
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Fax | 718-605-5390
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Provider Business Mailing Address
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Address Line | 197 RENSSELAER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-3011
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Country | US
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Telephone | 718-605-5390
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Fax | 718-605-5390
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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 | 011828
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 011828
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License Number State | NY
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