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General NPI Number Information
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NPI Number | 1598218075
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Entity Type | Organization
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Legal Business Name | CANALSIDE PSYCHOLOGICAL HEALTH, PLLC
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 170 OFFICE PARK WAY
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City | PITTSFORD
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State | NY
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Zip | 14534-1760
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Country | US
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Telephone | 585-371-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 170 OFFICE PARK WAY
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City | PITTSFORD
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State | NY
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Zip | 14534-1760
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Country | US
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Telephone | 585-371-5020
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. DARIA ALONGI
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Credential | PSYD
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Telephone | 585-371-5020
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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 | 021551
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License Number State | NY
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