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General NPI Number Information
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NPI Number | 1518745926
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Entity Type | Individual
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Provider Name | MARISSA GEARY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 46 VILLAGE GREEN RD
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City | BEDMINSTER
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State | NJ
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Zip | 07921-1505
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Country | US
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Telephone | 908-566-2685
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Fax |
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Provider Business Mailing Address
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Address Line | 46 VILLAGE GREEN RD
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City | BEDMINSTER
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State | NJ
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Zip | 07921-1505
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Country | US
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Telephone |
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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 | 35SI00725800
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License Number State | NJ
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