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NPI 1730241076

NPI 1730241076 : VICTORIA LONDIN PH.D. : MOUNT KISCO, NY

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General NPI Number Information
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    NPI Number           |    1730241076
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA LONDIN PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    83 S BEDFORD RD 
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    City                 |    MOUNT KISCO
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    State                |    NY
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    Zip                  |    10549-3429
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    Country              |    US
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    Telephone            |    914-244-0755
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    Fax                  |    914-244-0754
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Provider Business Mailing Address
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    Address Line         |    83 S BEDFORD RD 
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    City                 |    MOUNT KISCO
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    State                |    NY
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    Zip                  |    10549-3429
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    Country              |    US
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    Telephone            |    914-244-0755
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    Fax                  |    914-244-0754
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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       |    009379
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    License Number State |    NY
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