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General NPI Number Information
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NPI Number | 1568904035
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Entity Type | Organization
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Legal Business Name | DR. ANGELA REITER, PSYD, PC
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 475 WHITE PLAINS RD SUITE 23
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 914-488-4779
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Fax | 914-313-1691
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Provider Business Mailing Address
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Address Line | 475 WHITE PLAINS RD SUITE 23
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City | EASTCHESTER
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State | NY
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Zip | 10709-5537
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Country | US
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Telephone | 914-488-4779
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Fax | 914-313-1691
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGELA REITER
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Credential | PSYD
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Telephone | 914-488-4779
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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 | 017859
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License Number State | NY
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