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General NPI Number Information
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NPI Number | 1194941658
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Entity Type | Individual
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Provider Name | JOHN DOWER HANDRON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 901 ROUTE 168 STE 101
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-3200
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Country | US
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Telephone | 609-408-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 21430 SPRUCE RD
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City | EASTON
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State | KS
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Zip | 66020-8048
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Country | US
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Telephone | 609-420-7102
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 35SI00179900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00179900
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License Number State | NJ
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