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General NPI Number Information
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NPI Number | 1508674250
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Entity Type | Organization
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Legal Business Name | JEFFREY C DANCO PSYD
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 505 STATE ROUTE 28
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2493
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Country | US
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Telephone | 908-642-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 37 SHANNON RD
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2649
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Country | US
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Telephone | 908-642-8188
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JEFFREY CHARLES DANCO
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Credential | PSYD
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Telephone | 908-642-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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