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General NPI Number Information
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NPI Number | 1194041723
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Entity Type | Individual
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Provider Name | KIMBERLY R MERSON MS
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 3322 RTE 22 STE 703-704
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3476
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Country | US
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Telephone | 848-334-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 671 HOES LN W
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8021
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Country | US
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Telephone | 732-235-5900
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FI00175400
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License Number State | NJ
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