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General NPI Number Information
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NPI Number | 1194241687
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Entity Type | Individual
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Provider Name | SARA SHENKER PSY.D
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 707 ALEXANDER RD STE 208
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City | PRINCETON
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State | NJ
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Zip | 08540-6331
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Country | US
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Telephone | 908-328-8561
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Fax |
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Provider Business Mailing Address
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Address Line | 212 HENDRICKSON DR
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-1704
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Country | US
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Telephone | 609-718-0053
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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 | 5832
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License Number State | NJ
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