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NPI 1427828094

NPI 1427828094 : LEX UEHLINE PH.D. : MONTCLAIR, NJ

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General NPI Number Information
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    NPI Number           |    1427828094
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    Entity Type          |    Individual 
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    Provider Name        |    LEX UEHLINE PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2024
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    15 HIBBEN PL FL 2 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07043-2101
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    Country              |    US
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    Telephone            |    317-400-5243
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15 HIBBEN PL FL 2 
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    City                 |    MONTCLAIR
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    State                |    NJ
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    Zip                  |    07043-2101
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    Country              |    US
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    Telephone            |    317-400-5243
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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       |    13523603-2501
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    License Number State |    UT
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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       |    027019
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    License Number State |    NY
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