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General NPI Number Information
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NPI Number | 1740696707
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Entity Type | Organization
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Legal Business Name | SHARI A BECKER, PH.D., LLC
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 75 N MAPLE AVE SUITE 201
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3247
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Country | US
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Telephone | 201-689-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 452 FAIRFIELD RD
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City | WYCKOFF
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State | NJ
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Zip | 07481-1210
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Country | US
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Telephone | 201-689-2232
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARI BECKER
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Credential | PH.D.
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Telephone | 201-689-2232
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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 | 35S100418600
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License Number State | NJ
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