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NPI 1790924967

NPI 1790924967 : RALPH E PIPER PH.D. : PRINCETON, NJ

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General NPI Number Information
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    NPI Number           |    1790924967
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    Entity Type          |    Individual 
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    Provider Name        |    RALPH E PIPER PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/11/2009
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    Last Update Date     |    08/21/2014
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Provider Practice Location Address
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    Address Line         |    145 WITHERSPOON ST 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08542-3228
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    Country              |    US
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    Telephone            |    609-658-8645
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    145 WITHERSPOON ST 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08542-3228
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    Country              |    US
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    Telephone            |    609-658-8645
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    Fax                  |    
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    04589
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    35S100426300
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    License Number State |    NJ
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