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General NPI Number Information
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NPI Number | 1831333087
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Entity Type | Organization
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Legal Business Name | PATRICIA J. PARSONS, PHD, PC
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 3 VOSE AVENUE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2019
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Country | US
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Telephone | 973-761-0270
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Fax |
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Provider Business Mailing Address
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Address Line | 3 VOSE AVENUE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2019
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Country | US
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Telephone | 973-761-0270
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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. PATRICIA JOYCE PARSONS
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Credential | PHD
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Telephone | 973-761-0270
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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 | 35SI00144100
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License Number State | NJ
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