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General NPI Number Information
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NPI Number | 1396721239
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Entity Type | Individual
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Provider Name | BRIAN LAWRENCE FARRAN PH.D., ABPP
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 225 MILLBURN AVE STE 210
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City | MILLBURN
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State | NJ
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Zip | 07041-1712
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Country | US
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Telephone | 973-327-4393
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Fax | 973-821-4448
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Provider Business Mailing Address
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Address Line | 609 W SOUTH ORANGE AVE APT 5R
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1066
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Country | US
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Telephone | 973-327-4393
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Fax | 973-821-4448
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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 | 016443
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4425
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License Number State | NJ
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