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General NPI Number Information
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NPI Number | 1275003881
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Entity Type | Organization
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Legal Business Name | JAMES A. R. GLYNN, PSY.D., LLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 39 RAINBOW RIDGE DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1126
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Country | US
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Telephone | 201-704-5428
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Fax | 201-565-0590
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Provider Business Mailing Address
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Address Line | 39 RAINBOW RIDGE DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1126
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Country | US
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Telephone | 201-704-5428
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Fax | 201-565-0590
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JAMES ASHLEY ROBIN GLYNN
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Credential | PSY.D.
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Telephone | 862-261-2121
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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 |
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License Number State |
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