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General NPI Number Information
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NPI Number | 1700418563
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Entity Type | Organization
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Legal Business Name | WILLIAMBECKER MD AND NINA SUGAR MD CHILD AND ADOLESCENTPSYCHIATRY,LLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 589 FRANKLIN TPKE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-1989
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Country | US
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Telephone | 201-670-4075
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Fax | 201-670-6331
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Provider Business Mailing Address
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Address Line | 589 FRANKLIN TPKE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-1989
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Country | US
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Telephone | 201-670-4075
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Fax | 201-670-6331
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM BECKER
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Credential | MD
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Telephone | 201-670-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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