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General NPI Number Information
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NPI Number | 1083903629
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PSYCHOLOGY SOLUTIONS PC
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 20 NASSAU ST
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City | PRINCETON
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State | NJ
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Zip | 08542-4509
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Country | US
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Telephone | 609-462-4677
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SUFFOLK LN
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City | PRINCETON JUNCTION
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State | NJ
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Zip | 08550-1226
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Country | US
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Telephone | 609-462-4677
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ALLISON DORLEN PASTOR
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Credential | PHD
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Telephone | 609-462-4677
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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 |
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License Number State |
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