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General NPI Number Information
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NPI Number | 1376862235
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Entity Type | Individual
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Provider Name | JOEL NUNEZ PH.D
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Gender | Male
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 510 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3070
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Country | US
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Telephone | 201-455-2052
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Fax | 201-354-9376
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | NEW PROVIDENCE
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State | NJ
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Zip | 07974-0626
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Country | US
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Telephone | 201-455-2052
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00437200
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License Number State | NJ
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