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General NPI Number Information
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NPI Number | 1710756366
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Entity Type | Organization
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Legal Business Name | LIA AMAKAWA PSYCHOLOGICAL PLLC
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 12/25/2023
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Provider Practice Location Address
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Address Line | 113 UNIVERSITY PL FL 11
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City | NEW YORK
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State | NY
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Zip | 10003-4527
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Country | US
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Telephone | 929-500-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CHESTNUT DR
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City | HASTINGS ON HUDSON
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State | NY
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Zip | 10706-1901
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Country | US
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Telephone | 929-500-1577
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LEAH ANN AMAKAWA
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Credential | PHD
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Telephone | 929-500-1577
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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 |
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License Number State |
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