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General NPI Number Information
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NPI Number | 1669074191
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Entity Type | Individual
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Provider Name | LEAH SUGERMAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 385 PROSPECT AVE STE 314
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City | HACKENSACK
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State | NJ
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Zip | 07601-2570
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Country | US
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Telephone | 845-367-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CORTLAND RD
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City | MONSEY
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State | NY
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Zip | 10952-1624
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Country | US
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Telephone |
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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 |
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License Number State |
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