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General NPI Number Information
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NPI Number | 1659305100
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Entity Type | Individual
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Provider Name | RICHARD WAYNE RAPKIN PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 2 WORLDS FAIR DR SUITE 206
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City | SOMERSET
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State | NJ
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Zip | 08873-1369
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Country | US
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Telephone | 732-563-4277
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Fax | 732-563-0161
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Provider Business Mailing Address
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Address Line | 2 WORLDS FAIR DR SUITE 206
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City | SOMERSET
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State | NJ
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Zip | 08873-1369
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Country | US
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Telephone | 732-563-4277
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Fax | 732-563-0161
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00299300
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License Number State | NJ
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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 | 35SI00299300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 35SI00299300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 35SI00299300
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License Number State | NJ
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