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NPI 1770648214

NPI 1770648214 : CAROL A HASSETT PH.D : HEMPSTEAD, NY

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General NPI Number Information
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    NPI Number           |    1770648214
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL A HASSETT PH.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    230 HILTON AVE SUITE 12
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    City                 |    HEMPSTEAD
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    State                |    NY
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    Zip                  |    11550-8115
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    Country              |    US
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    Telephone            |    516-485-0054
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    Fax                  |    516-593-3114
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Provider Business Mailing Address
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    Address Line         |    105 FRANKLIN AVE 
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    City                 |    MALVERNE
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    State                |    NY
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    Zip                  |    11565-1926
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    Country              |    US
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    Telephone            |    516-485-0054
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    Fax                  |    516-593-3114
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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       |    007768-1
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    License Number State |    NY
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