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General NPI Number Information
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NPI Number | 1689784233
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Entity Type | Individual
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Provider Name | BARBARA A PULLIAM PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 81 IRVING PL SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10003-2208
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Country | US
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Telephone | 212-777-8019
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Fax | 973-509-7335
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Provider Business Mailing Address
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Address Line | 68 OVERLOOK RD
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City | UPPER MONTCLAIR
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State | NJ
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Zip | 07043-2021
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Country | US
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Telephone | 973-509-7335
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Fax | 973-509-7335
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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 | 007394-1
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License Number State | NY
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