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General NPI Number Information
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NPI Number | 1841588407
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Entity Type | Individual
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Provider Name | JAMES MARTIN CHITTY LCSW PSYCHOANALYST
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Gender | Male
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 189 ELM ST 3RD FLOOR
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City | WESTFIELD
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State | NJ
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Zip | 07090-3145
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Country | US
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Telephone | 908-232-1115
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Fax | 908-232-1126
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Provider Business Mailing Address
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Address Line | 189 ELM ST 3RD FLOOR
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City | WESTFIELD
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State | NJ
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Zip | 07090-3145
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Country | US
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Telephone | 908-232-1115
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Fax | 908-232-1126
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 44SC05395700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 078092-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05395700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 078092-1
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License Number State | NY
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