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General NPI Number Information
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NPI Number | 1710065123
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Entity Type | Individual
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Provider Name | ROSEANN UNGARO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 45 N STATION PLZ STE 301
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City | GREAT NECK
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State | NY
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Zip | 11021-5007
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Country | US
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Telephone | 718-224-1033
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Fax | 516-676-0521
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Provider Business Mailing Address
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Address Line | 45 N STATION PLZ STE 301
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City | GREAT NECK
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State | NY
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Zip | 11021-5007
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Country | US
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Telephone | 516-521-4217
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Fax | 516-629-6882
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 007453
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License Number State | NY
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