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General NPI Number Information
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NPI Number | 1710245022
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Entity Type | Individual
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Provider Name | CLAIRE LAVIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 550 MAMARONECK AVE
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City | HARRISON
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State | NY
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Zip | 10528-1634
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Country | US
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Telephone | 914-536-1879
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Fax |
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Provider Business Mailing Address
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Address Line | 20404 MARSHALL AVE
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City | BREEZY POINT
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State | NY
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Zip | 11697-1107
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Country | US
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Telephone | 718-474-0884
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Fax |
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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 | 004465
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License Number State | NY
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