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General NPI Number Information
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NPI Number | 1669747028
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Entity Type | Organization
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Legal Business Name | TRUE PURSUIT PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 530 W 236TH ST SUITE 1K
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City | BRONX
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State | NY
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Zip | 10463-1748
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Country | US
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Telephone | 718-701-5833
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Fax |
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Provider Business Mailing Address
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Address Line | 2860 BAILEY AVE APT 1A
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City | BRONX
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State | NY
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Zip | 10463-7227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE CLINICAL DIRECTOR
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Name | ANGIE RUMALDO
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Credential | PHD
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Telephone | 718-701-5833
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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 | 018457
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License Number State | NY
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