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General NPI Number Information
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NPI Number | 1972789659
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Entity Type | Organization
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Legal Business Name | POLONI AND ASSOCIATES
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Dates
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Enumeration Date | 01/13/2008
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Last Update Date | 01/13/2008
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Provider Practice Location Address
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Address Line | 8 WYNTRE BROOKE DR
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City | YORK
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State | PA
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Zip | 17403-4535
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Country | US
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Telephone | 717-741-4071
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Fax | 717-741-6660
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Provider Business Mailing Address
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Address Line | 8 WYNTRE BROOKE DR
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City | YORK
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State | PA
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Zip | 17403-4535
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Country | US
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Telephone | 717-741-4071
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Fax | 717-741-6660
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. LOUIS D. POLONI
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Credential | PH.D.
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Telephone | 717-741-4071
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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 | PS5053-L
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License Number State | PA
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