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General NPI Number Information
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NPI Number | 1861712986
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Entity Type | Organization
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Legal Business Name | CLAIRE VERNALEKEN PHD
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 843 RIFLE CAMP RD
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3132
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Country | US
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Telephone | 973-832-8012
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Fax | 973-837-1158
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Provider Business Mailing Address
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Address Line | 843 RIFLE CAMP RD
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3132
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Country | US
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Telephone | 973-832-8012
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. CLAIRE VERNALEKEN
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Credential | PHD
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Telephone | 973-832-8012
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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 | 35S100370800
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License Number State | NJ
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