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General NPI Number Information
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NPI Number | 1851201909
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Entity Type | Individual
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Provider Name | EUGENIE PARK
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 400 RARITAN AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-2740
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Country | US
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Telephone | 877-611-8923
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WINDING CRK
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7315
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Country | US
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Telephone | 201-625-5916
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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