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General NPI Number Information
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NPI Number | 1922626761
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Entity Type | Organization
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Legal Business Name | 3 FEAT LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 1608 ANKEN ST
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City | ROME
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State | NY
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Zip | 13440-2304
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Country | US
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Telephone | 310-974-2701
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Fax |
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Provider Business Mailing Address
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Address Line | 1608 ANKEN ST
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City | ROME
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State | NY
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Zip | 13440-2304
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Country | US
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Telephone | 310-974-2701
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. GAURI GOEL
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Credential | PSYD
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Telephone | 310-974-2701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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