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General NPI Number Information
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NPI Number | 1376427799
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Entity Type | Organization
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Legal Business Name | LAURAINE HOLLYER
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 38 PARK ST FL 2
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3440
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Country | US
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Telephone | 973-748-7644
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Fax |
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Provider Business Mailing Address
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Address Line | 38 PARK ST FL 2
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3440
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Country | US
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Telephone | 973-748-7644
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Fax |
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Authorized Official
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Title or Position | INDIVIDUAL PROPRIETER
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Name | LAURAINE HOLLYER
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Credential | PHD
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Telephone | 973-748-7644
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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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