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General NPI Number Information
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NPI Number | 1326196551
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Entity Type | Individual
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Provider Name | MICHAEL LEONARD NOVER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 75 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2114
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Country | US
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Telephone | 732-431-3000
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Fax | 732-431-3037
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Provider Business Mailing Address
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Address Line | 133 FRANKLIN CORNER RD STE 2
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2531
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Country | US
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Telephone | 732-431-3000
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Fax | 609-406-9319
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35S100275100
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License Number State | NJ
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