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General NPI Number Information
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NPI Number | 1730763079
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Entity Type | Organization
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Legal Business Name | LAMADE PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 227 UNION ST STE 706
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City | NEW BEDFORD
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State | MA
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Zip | 02740-5946
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Country | US
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Telephone | 631-748-7687
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Fax |
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Provider Business Mailing Address
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Address Line | 227 UNION ST STE 706
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City | NEW BEDFORD
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State | MA
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Zip | 02740-5946
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Country | US
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Telephone | 631-748-7687
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAINA V LAMADE
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Credential | PH.D.
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Telephone | 631-748-7687
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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