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General NPI Number Information
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NPI Number | 1407900038
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Entity Type | Individual
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Provider Name | AMY BRAMS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 UNION PL
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City | SUMMIT
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State | NJ
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Zip | 07901-3656
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Country | US
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Telephone | 973-379-9127
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Fax |
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Provider Business Mailing Address
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Address Line | 79 BALTUSROL WAY
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City | SHORT HILLS
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State | NJ
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Zip | 07078-2458
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Country | US
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Telephone | 973-379-4698
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 03987
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License Number State | NJ
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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 | 11936-1
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License Number State | NY
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