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General NPI Number Information
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NPI Number | 1700931029
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Entity Type | Individual
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Provider Name | PATRICIA J. TOMASSO PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 34 S BROADWAY STE 600
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4428
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Country | US
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Telephone | 914-681-9435
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Fax | 914-231-9148
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Provider Business Mailing Address
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Address Line | 8 CEDARLAWN RD
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City | IRVINGTON
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State | NY
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Zip | 10533-1903
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Country | US
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Telephone | 914-591-6713
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Fax | 914-591-8470
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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 | 011279
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License Number State | NY
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