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General NPI Number Information
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NPI Number | 1598820227
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Entity Type | Individual
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Provider Name | JAMIE LYNN NAUHEIM PH. D., P.C.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 223 ROANOKE AVE
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City | RIVERHEAD
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State | NY
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Zip | 11901-2778
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Country | US
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Telephone | 631-727-8270
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Fax | 631-369-9423
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Provider Business Mailing Address
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Address Line | 223 ROANOKE AVE
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City | RIVERHEAD
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State | NY
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Zip | 11901-2778
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Country | US
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Telephone | 631-727-8270
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Fax | 631-369-9423
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 007062
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License Number State | NY
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