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General NPI Number Information
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NPI Number | 1538281431
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Entity Type | Individual
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Provider Name | PATRICIA VROOM PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 137 SHREWSBURY CT
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City | PENNINGTON
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State | NJ
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Zip | 08534-5258
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Country | US
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Telephone | 609-818-1226
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Fax |
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Provider Business Mailing Address
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Address Line | 137 SHREWSBURY CT
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City | PENNINGTON
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State | NJ
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Zip | 08534-5258
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Country | US
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Telephone | 609-818-1226
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 015611-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 061-A276
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License Number State | NJ
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