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General NPI Number Information
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NPI Number | 1972029932
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Entity Type | Organization
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Legal Business Name | DR RACHEL KLEINMAN PSYD PLLC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 1 BARSTOW RD STE P24
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City | GREAT NECK
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State | NY
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Zip | 11021-3501
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Country | US
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Telephone | 917-543-5750
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Fax |
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Provider Business Mailing Address
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Address Line | 8509 RADNOR ST
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City | JAMAICA
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State | NY
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Zip | 11432-2325
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Country | US
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Telephone | 917-543-5750
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. RACHEL KLEINMAN
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Credential |
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Telephone | 917-543-5750
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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 | 019510
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License Number State | NY
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