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General NPI Number Information
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NPI Number | 1891925228
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Entity Type | Organization
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Legal Business Name | RACHEL MANN-ROSAN, PH.D, PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 15 MAPLE DELL SUITE 3
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2951
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Country | US
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Telephone | 518-926-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 461 GRAND AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6109
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Country | US
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Telephone | 518-926-0037
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RACHEL MANN-ROSAN
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Credential | PH.D.
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Telephone | 518-926-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 016353
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License Number State | NY
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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 | 016353
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License Number State | NY
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