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General NPI Number Information
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NPI Number | 1336885284
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Entity Type | Organization
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Legal Business Name | TELETHERAPEUTICS HEALTH INCORPORATED
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 774 E 2100 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-1863
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Country | US
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Telephone | 888-420-0589
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Fax | 201-646-3955
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Provider Business Mailing Address
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Address Line | 79 OGLE RD
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7026
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Country | US
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Telephone | 732-485-1301
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Fax | 302-469-2115
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Authorized Official
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Title or Position | OWNER
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Name | YASIR J. AHMAD
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Credential | MD
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Telephone | 781-373-8199
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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 |
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License Number State |
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