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General NPI Number Information
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NPI Number | 1467619585
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Entity Type | Individual
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Provider Name | DANIELLE T. DIGREGORIO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 42 E LAUREL RD UPD#1800
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City | STRATFORD
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State | NJ
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Zip | 08084-1354
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Country | US
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Telephone | 856-566-6843
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Fax | 856-566-6419
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Provider Business Mailing Address
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Address Line | 39 CLAYBURGH RD
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City | THORNTON
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State | PA
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Zip | 19373-1103
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Country | US
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Telephone | 610-299-0192
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Fax | 610-399-1688
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS016425
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License Number State | PA
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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 | PS016425
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License Number State | PA
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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 | 121-007
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 121-007
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License Number State | NJ
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