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General NPI Number Information
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NPI Number | 1023411105
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Entity Type | Individual
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Provider Name | KRISTIN TAFT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 20 GIBSON PL
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City | FREEHOLD
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State | NJ
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Zip | 07728-4838
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Country | US
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Telephone | 856-376-8074
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Fax |
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Provider Business Mailing Address
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Address Line | 108 BRIGHTON AVE APT 3
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City | LONG BRANCH
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State | NJ
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Zip | 07740-5346
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Country | US
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Telephone | 908-839-6567
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Fax | 570-992-6736
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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