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General NPI Number Information
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NPI Number | 1750675195
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Entity Type | Individual
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Provider Name | JESSICA NICOLE HALPERN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 608 SHERWOOD PKWY STE 106
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2512
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Country | US
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Telephone | 908-379-8258
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Fax | 888-517-4388
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Provider Business Mailing Address
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Address Line | 608 SHERWOOD PKWY STE 106
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2512
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Country | US
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Telephone | 908-379-8258
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Fax | 888-517-4388
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 277445
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MA09864500
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License Number State | NJ
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