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NPI 1578776746

NPI 1578776746 : DR. JENNIFER L. D'OSTILIO : SEWELL, NJ

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General NPI Number Information
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    NPI Number           |    1578776746
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    Entity Type          |    Individual 
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    Provider Name        |    DR. JENNIFER L. D'OSTILIO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    6 ENTERPRISE CT 
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    City                 |    SEWELL
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    State                |    NJ
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    Zip                  |    08080-4112
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    Country              |    US
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    Telephone            |    856-432-2815
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    Fax                  |    856-256-1762
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Provider Business Mailing Address
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    Address Line         |    6 ENTERPRISE CT 
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    City                 |    SEWELL
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    State                |    NJ
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    Zip                  |    08080-4112
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    Country              |    US
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    Telephone            |    856-432-2815
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    Fax                  |    856-256-1762
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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       |    4438
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    License Number State |    NJ
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