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General NPI Number Information
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NPI Number | 1538642293
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Entity Type | Individual
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Provider Name | ASHLEY KIPNESS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 18 THROCKMORTON LN STE 208
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-2570
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Country | US
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Telephone | 609-774-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SPRUCE AVE
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1922
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Country | US
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Telephone | 160-977-4155
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 5982
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License Number State | NJ
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