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General NPI Number Information
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NPI Number | 1295038172
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Entity Type | Organization
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Legal Business Name | PRINCETON PSYCHOLOGICAL PARTNERS, LLC
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 44 NASSAU ST SUITE 370
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City | PRINCETON
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State | NJ
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Zip | 08542-4506
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Country | US
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Telephone | 609-731-1793
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Fax |
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Provider Business Mailing Address
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Address Line | 44 NASSAU ST SUITE 370
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City | PRINCETON
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State | NJ
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Zip | 08542-4506
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Country | US
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Telephone | 609-731-1793
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. SHARON ROSE POWELL
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Credential |
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Telephone | 609-731-1793
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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 | 2110
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License Number State | NJ
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