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General NPI Number Information
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NPI Number | 1376075440
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Entity Type | Organization
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Legal Business Name | BHAT PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 601 EWING ST SUITE A12
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City | PRINCETON
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State | NJ
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Zip | 08540-2754
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Country | US
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Telephone | 267-991-0108
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Fax | 609-213-8732
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Provider Business Mailing Address
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Address Line | 110 EVERETT ST
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-4124
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Country | US
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Telephone | 267-991-0108
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Fax | 609-213-8732
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Authorized Official
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Title or Position | PSYD, OWNER
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Name | JYOTHSNA BHAT
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Credential | PSYD
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Telephone | 267-991-0108
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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 | NJ
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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 |
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License Number State | PA
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