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General NPI Number Information
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NPI Number | 1861659666
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Entity Type | Individual
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Provider Name | BROOKE WHITNEY ZALL-CRAWFORD PSY.D
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 470 ROUTE 79 SUITE B-2
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4700
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Country | US
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Telephone | 732-513-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 125 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2052
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Country | US
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Telephone | 732-780-0803
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4538
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License Number State | NJ
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