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General NPI Number Information
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NPI Number | 1386950376
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Entity Type | Individual
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Provider Name | DOROTA W NOVITSKIE PHD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 140 COUNTY RD
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City | TENAFLY
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State | NJ
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Zip | 07670-1839
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Country | US
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Telephone | 973-906-3431
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Fax | 201-270-5135
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Provider Business Mailing Address
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Address Line | 8 ALPINE RD
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City | BOONTON
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State | NJ
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Zip | 07005-9743
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Country | US
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Telephone | 973-906-3431
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Fax | 201-270-5135
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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 | 021114
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00547400
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License Number State | NJ
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