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General NPI Number Information
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NPI Number | 1457974750
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Entity Type | Individual
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Provider Name | RODEA MONTGOMERY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 55 MADISON AVENUE, SUITE 400, PMR 4229
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City | MORRISTOWN
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State | NJ
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Zip | 07960-0796
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Country | US
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Telephone | 973-283-5284
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MADISON AVE SUITE 400, PMB# 4239
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City | MADISON
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State | NJ
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Zip | 07960-7397
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Country | US
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Telephone | 973-283-5284
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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 | 023551
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License Number State | NY
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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 | 35S100627500
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License Number State | NJ
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