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General NPI Number Information
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NPI Number | 1699261313
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL AND PSYCHODIAGNOSTIC ASSESSMENT CENTER OF NJ
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 120 EAGLE ROCK AVE STE 148
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City | EAST HANOVER
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State | NJ
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Zip | 07936-3168
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Country | US
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Telephone | 862-591-9819
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Fax | 973-251-9007
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Provider Business Mailing Address
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Address Line | 23 WOODCREST DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3849
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Country | US
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Telephone | 973-454-5070
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOYCE ANN ECHO
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Credential | PH.D.
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Telephone | 862-591-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 35S100433000
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License Number State | NJ
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