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General NPI Number Information
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NPI Number | 1023845294
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Entity Type | Individual
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Provider Name | DEBORAH DICKERSON
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Gender | Female
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 542 BERLIN CROSS KEYS RD
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-4367
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Country | US
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Telephone | 609-669-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 542 BERLIN CROSS KEYS RD. STE.3-270
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City | SICKLERVILLE
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State | NJ
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Zip | 08081
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Country | US
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Telephone | 609-553-3180
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Fax |
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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 | 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 #2
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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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Taxonomy #3
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #5
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Taxonomy Code | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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License Number |
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Taxonomy #6
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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Taxonomy #7
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational 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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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Taxonomy #9
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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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Taxonomy #10
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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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Taxonomy #11
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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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Taxonomy #12
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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Taxonomy #14
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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Taxonomy #15
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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