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General NPI Number Information
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NPI Number | 1740159508
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Entity Type | Organization
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Legal Business Name | ALIGNED LIVING PSYCOLOGICAL SERVICES
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 104 W ENTERPRISE ST
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City | DURHAM
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State | NC
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Zip | 27707-1818
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Country | US
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Telephone | 908-887-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 104 W ENTERPRISE ST
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City | DURHAM
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State | NC
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Zip | 27707-1818
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Country | US
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Telephone | 908-887-4989
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Fax |
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Authorized Official
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Title or Position | ORGANIZING MEMBER
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Name | KEITH CHICHESTER
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Credential | PHD
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Telephone | 908-887-4898
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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 |
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License Number State |
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