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General NPI Number Information
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NPI Number | 1821571803
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Entity Type | Individual
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Provider Name | ERICA HARRIS PHD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 3-5 VOSE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2006
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Country | US
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Telephone | 315-810-2770
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Fax |
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Provider Business Mailing Address
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Address Line | 30 SHADOWLAWN DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3216
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Country | US
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Telephone | 973-953-4456
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 024358
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00669600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P13257
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License Number State | NY
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