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General NPI Number Information
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NPI Number | 1700031283
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Entity Type | Individual
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Provider Name | ROBERT REKKER PSY. D.
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Gender | Male
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 100 HAMILTON PLZ STE 101
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City | PATERSON
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State | NJ
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Zip | 07505
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Country | US
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Telephone | 973-910-0851
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Fax | 973-842-0753
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Provider Business Mailing Address
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Address Line | 75 ROBIN HOOD RD
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City | CLIFTON
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State | NJ
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Zip | 07013-3113
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Country | US
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Telephone | 973-910-0851
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Fax | 973-842-0752
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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 | 17145
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4024
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00454600
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License Number State | NJ
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