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General NPI Number Information
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NPI Number | 1558885681
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Entity Type | Organization
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Legal Business Name | RAINA V. LAMADE, PH.D. PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 12/04/2021
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Provider Practice Location Address
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Address Line | 29 BARSTOW RD STE 304
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City | GREAT NECK
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State | NY
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Zip | 11021-2209
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Country | US
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Telephone | 631-748-7687
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Fax |
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Provider Business Mailing Address
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Address Line | 16417 45TH AVE
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City | FLUSHING
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State | NY
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Zip | 11358-3215
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Country | US
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Telephone | 631-748-7687
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAINA V LAMADE
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Credential | PH.D.
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Telephone | 631-748-7687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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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