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NPI 1083335756

NPI 1083335756 : JOHN T JUNKER PSY.D., M.A. : GRICIGNANO DI AVERSA, CE

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General NPI Number Information
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    NPI Number           |    1083335756
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN T JUNKER PSY.D., M.A.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/09/2022
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    Last Update Date     |    03/24/2025
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Provider Practice Location Address
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    Address Line         |    NMRTC NAPLES OSPEDALE MARINA USA VIA CONTRADA BOSCARIELLO
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    City                 |    GRICIGNANO DI AVERSA
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    State                |    CE
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    Zip                  |    81030
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    Country              |    IT
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    Telephone            |    314-629-6306
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PSC 808 BOX 2616 
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    City                 |    FPO
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    State                |    AE
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    Zip                  |    09618-0027
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    Country              |    US
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    Telephone            |    314-629-6309
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    0810008589
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    License Number State |    VA
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