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General NPI Number Information
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NPI Number | 1346749256
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Entity Type | Individual
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Provider Name | JANE ELIZABETH AUSTIN PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 26 W 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 973-567-8517
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CHESTNUT CT
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City | CEDAR GROVE
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State | NJ
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Zip | 07009-1175
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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 | 021827
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00313200
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License Number State | NJ
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