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General NPI Number Information
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NPI Number | 1235959073
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Entity Type | Individual
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Provider Name | SHERRIKAH LEILA THIGPEN HAYES PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3575 QUAKERBRIDGE RD
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City | HAMILTON
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State | NJ
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Zip | 08619-1271
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Country | US
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Telephone | 732-343-0719
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Fax |
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Provider Business Mailing Address
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Address Line | 525 W BROAD ST
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City | PALMYRA
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State | NJ
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Zip | 08065-1443
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Country | US
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Telephone | 732-343-0719
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 243-066
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License Number State | NJ
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