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General NPI Number Information
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NPI Number | 1396454542
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Entity Type | Organization
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Legal Business Name | MONUMENTAL HEALTH
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 1542 KUSER RD STE B8
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City | HAMILTON
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State | NJ
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Zip | 08619-3829
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Country | US
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Telephone | 609-434-3759
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Fax | 609-331-8690
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Provider Business Mailing Address
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Address Line | PO BOX 33048
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City | TRENTON
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State | NJ
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Zip | 08629-3048
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Country | US
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Telephone | 609-434-3759
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Fax | 609-331-8690
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LINDA TERRY
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Credential | PHD
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Telephone | 609-434-3759
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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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