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General NPI Number Information
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NPI Number | 1518357854
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Entity Type | Organization
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Legal Business Name | ANDREW LAGOMASINO, PSYD, PA
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 250 CATALONIA AVE STE 607
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City | CORAL GABLES
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State | FL
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Zip | 33134-6727
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Country | US
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Telephone | 786-543-2313
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Fax |
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Provider Business Mailing Address
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Address Line | 250 CATALONIA AVE STE 607
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City | CORAL GABLES
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State | FL
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Zip | 33134-6727
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Country | US
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Telephone | 786-543-2313
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. ANDREW LAGOMASINO
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Credential | PSY.D.
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Telephone | 786-543-2313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PY6918
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License Number State | FL
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