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General NPI Number Information
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NPI Number | 1427783992
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Entity Type | Organization
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Legal Business Name | ALBERT J. SULTAN, PSY.D. LLC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 1806 HIGHWAY 35 STE 205B
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City | OAKHURST
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State | NJ
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Zip | 07755-2759
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Country | US
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Telephone | 732-977-1958
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Fax |
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Provider Business Mailing Address
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Address Line | 16 LADY BESS DR
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City | DEAL
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State | NJ
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Zip | 07723-1015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/NEUROPSYCHOLOGIST
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Name | DR. ALBERT JASON SULTAN
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Credential | PSY.D.
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Telephone | 732-977-1958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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