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General NPI Number Information
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NPI Number | 1518276518
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Entity Type | Individual
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Provider Name | JANICE LYNN GALIZIA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2010
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 24302 NORTHERN BLVD
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City | DOUGLASTON
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State | NY
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Zip | 11362-1150
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Country | US
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Telephone | 718-423-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 BELL BLVD 3RD FLOOR
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City | BAYSIDE
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State | NY
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Zip | 11360-1639
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Country | US
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Telephone | 917-385-8397
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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 | 020310
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License Number State | NY
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