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General NPI Number Information
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NPI Number | 1598980591
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Entity Type | Individual
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Provider Name | BROOKE ASHLEY DONALD PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 95 MOUNT KEMBLE AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5155
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Country | US
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Telephone | 973-971-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 3633 HILL RD STE 2
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1059
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Country | US
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Telephone | 973-335-5525
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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 | 35S100495800
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License Number State | NJ
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