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General NPI Number Information
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NPI Number | 1053666073
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Entity Type | Individual
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Provider Name | CAROL CHRISTOFILIS PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1802 STATE ROUTE 31 STE 2-222
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City | CLINTON
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State | NJ
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Zip | 08809-2033
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Country | US
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Telephone | 973-650-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 22 JULIANNE CT
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City | FREEHOLD
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State | NJ
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Zip | 07728-9254
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Country | US
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Telephone | 973-650-4567
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4107
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License Number State | NJ
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