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General NPI Number Information
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NPI Number | 1548504061
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Entity Type | Organization
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Legal Business Name | DEBORAH DIAMOND FISCH, PSYD, LLC
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 20 COMMUNITY PL 4TH FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7500
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Country | US
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Telephone | 973-539-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 20 COMMUNITY PL 4TH FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7500
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Country | US
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Telephone | 973-539-1008
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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. DEBORAH DIAMOND FISCH
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Credential | PSYD
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Telephone | 973-539-1008
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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 |
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License Number State |
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