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General NPI Number Information
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NPI Number | 1790946952
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Entity Type | Organization
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Legal Business Name | ROBERT GUARCELLO, PSYCHOLOGY,PC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 226 7TH ST SUITE 307
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City | GARDEN CITY
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State | NY
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Zip | 11530-5723
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Country | US
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Telephone | 516-877-0407
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Fax | 516-594-6909
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Provider Business Mailing Address
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Address Line | 226 7TH ST SUITE 307
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City | GARDEN CITY
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State | NY
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Zip | 11530-5723
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Country | US
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Telephone | 516-877-0407
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Fax | 516-594-6909
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ROBERT JAMES GUARCELLO
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Credential | PH.D.
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Telephone | 516-877-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 6304
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License Number State | NY
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