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General NPI Number Information
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NPI Number | 1063396638
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Entity Type | Individual
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Provider Name | JAYNE DUNCAN PHD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 130A WILLIAM ST
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City | HIGHTSTOWN
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State | NJ
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Zip | 08520-3112
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Country | US
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Telephone | 640-204-8647
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Fax |
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Provider Business Mailing Address
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Address Line | 111 TOWN SQUARE PL STE 1238 PMB 501057
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City | JERSEY CITY
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State | NJ
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Zip | 07310
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00785800
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License Number State | NJ
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