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General NPI Number Information
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NPI Number | 1558633776
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Entity Type | Organization
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Legal Business Name | ROCKLAND PSYCHOLOGY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 11 MEDICAL PARK DR SUITE 202
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City | POMONA
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State | NY
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Zip | 10970-3559
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Country | US
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Telephone | 845-354-5400
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Fax | 845-354-9342
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Provider Business Mailing Address
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Address Line | 11 MEDICAL PARK DR SUITE 202
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City | POMONA
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State | NY
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Zip | 10970-3559
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Country | US
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Telephone | 845-354-5400
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Fax | 845-354-9342
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHEYLAH SIMPSON
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Credential | CBCS
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Telephone | 845-354-5400
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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 |
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License Number State |
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