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General NPI Number Information
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NPI Number | 1497888754
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Entity Type | Organization
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Legal Business Name | B. SUE EPSTEIN PHD PC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 57 UNION PL SUITE 212
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City | SUMMIT
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State | NJ
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Zip | 07901-2568
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Country | US
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Telephone | 908-273-1844
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Fax | 646-833-7735
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Provider Business Mailing Address
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Address Line | 57 UNION PL SUITE 212
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City | SUMMIT
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State | NJ
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Zip | 07901-2568
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Country | US
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Telephone | 908-273-1844
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Fax | 646-833-7735
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Authorized Official
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Title or Position | PSYCHOLOGIST PRESIDENT
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Name | DR. B SUE EPSTEIN EPSTEIN
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Credential | PHD
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Telephone | 908-273-1844
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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 | 02242
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License Number State | NJ
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