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General NPI Number Information
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NPI Number | 1548866510
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Entity Type | Individual
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Provider Name | RUVANEE M.P. VILHAUER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 197 CHESTNUT DR
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City | WAYNE
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State | NJ
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Zip | 07470-5627
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Country | US
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Telephone | 862-226-6142
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Fax |
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Provider Business Mailing Address
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Address Line | 197 CHESTNUT DR
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City | WAYNE
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State | NJ
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Zip | 07470-5627
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Country | US
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Telephone | 862-226-6142
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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 | 017535
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 19480
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00483000
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License Number State | NJ
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