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General NPI Number Information
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NPI Number | 1093785727
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Entity Type | Individual
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Provider Name | DR. STANLEY MALKIN
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 140 CEDAR RD
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City | WATCHUNG
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State | NJ
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Zip | 07069-5919
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Country | US
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Telephone | 908-873-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 140 CEDAR RD
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City | WATCHUNG
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State | NJ
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Zip | 07069-5919
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Country | US
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Telephone | 908-668-1515
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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 | NJ SID2249
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License Number State | NJ
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