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General NPI Number Information
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NPI Number | 1346109170
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Entity Type | Individual
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Provider Name | LEORA L HALLER PHD
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 450 SPRINGFIELD AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-2611
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Country | US
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Telephone | 973-637-0572
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BACK DR
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City | EDISON
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State | NJ
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Zip | 08817-3020
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | TP263-006
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License Number State | NJ
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