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General NPI Number Information
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NPI Number | 1215901251
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Entity Type | Individual
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Provider Name | MILTON P EHRLICH PHD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 199 CHRISTIE ST
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City | LEONIA
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State | NJ
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Zip | 07605-1901
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Country | US
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Telephone | 201-947-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 199 CHRISTIE
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City | LEONIA
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State | NJ
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Zip | 07605-1901
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Country | US
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Telephone | 201-947-5647
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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 | 0727
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License Number State | NJ
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