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General NPI Number Information
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NPI Number | 1396338364
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Entity Type | Organization
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Legal Business Name | DOPPLER PSYCHOLOGY SERVICES AT HOME PC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 100 PARK AVE PH 7C
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City | FORT LEE
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State | NJ
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Zip | 07024-3808
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Country | US
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Telephone | 516-810-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PARK AVE PH 7C
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City | FORT LEE
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State | NJ
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Zip | 07024-3808
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Country | US
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Telephone | 516-810-1290
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANJU PRADHAN
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Credential | PHD
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Telephone | 929-352-0362
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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