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General NPI Number Information
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NPI Number | 1891970018
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Entity Type | Organization
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Legal Business Name | PAQUETTE PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 32 E MCGOVERN AVE SUITE 1
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City | LANCASTER
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State | PA
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Zip | 17602-1923
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Country | US
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Telephone | 717-431-9692
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Fax | 717-431-9340
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Provider Business Mailing Address
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Address Line | 32 E MCGOVERN AVE SUITE 1
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City | LANCASTER
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State | PA
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Zip | 17602-1923
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Country | US
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Telephone | 717-431-9692
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Fax | 717-431-9340
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | TERRENCE JOSEPH PAQUETTE
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Credential | PSY.D.
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Telephone | 717-431-9692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9279
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License Number State | PA
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