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General NPI Number Information
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NPI Number | 1326161316
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Entity Type | Individual
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Provider Name | DOUGLAS SEIDEN PH.D
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 101 EISENHOWER PKWY SUITE 300
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City | ROSELAND
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State | NJ
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Zip | 07068-1032
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Country | US
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Telephone | 212-490-3590
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | LIVINGSTON
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State | NJ
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Zip | 07039-0099
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Country | US
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Telephone | 212-490-3590
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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 | 014277-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00394200
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License Number State | NJ
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