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General NPI Number Information
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NPI Number | 1376247445
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Entity Type | Organization
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Legal Business Name | EDWARD M BARRETT
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 4 KAREN DR
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City | MILLTOWN
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State | NJ
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Zip | 08850-2124
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Country | US
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Telephone | 732-297-9696
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 603
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City | MILLTOWN
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State | NJ
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Zip | 08850-0603
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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 | OWNER
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Name | DR. EDWARD M BARRETT
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Credential | PHD
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Telephone | 732-297-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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