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NPI 1780752097

NPI 1780752097 : RICHARD C DALE PSY. D. : CROTON ON HUDSON, NY

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General NPI Number Information
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    NPI Number           |    1780752097
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD C DALE PSY. D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/04/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    126 GRAND ST 
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    City                 |    CROTON ON HUDSON
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    State                |    NY
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    Zip                  |    10520-2346
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    Country              |    US
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    Telephone            |    914-271-6410
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    Fax                  |    914-271-6410
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Provider Business Mailing Address
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    Address Line         |    23 HARDSCRABBLE RD 
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    City                 |    NORTH SALEM
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    State                |    NY
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    Zip                  |    10560-1008
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    Country              |    US
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    Telephone            |    914-669-6733
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    Fax                  |    914-669-6733
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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        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    0011492
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    License Number State |    NY
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