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General NPI Number Information
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NPI Number | 1730547415
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Entity Type | Organization
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Legal Business Name | RAYMOND F. ANGELINI, PH.D. PSYCHOLOGIST P.C.
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 648 MAPLE AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5607
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Country | US
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Telephone | 518-583-2679
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Fax | 518-583-1913
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Provider Business Mailing Address
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Address Line | 648 MAPLE AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5607
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Country | US
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Telephone | 518-583-2679
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Fax | 518-583-1913
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RAYMOND F. ANGELINI
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Credential | PH.D.
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Telephone | 518-583-2679
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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 | 009289
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License Number State | NY
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