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General NPI Number Information
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NPI Number | 1861907065
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Entity Type | Individual
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Provider Name | DR. NESRIN HISLI SAHIN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2017
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Last Update Date | 12/10/2017
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Provider Practice Location Address
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Address Line | 285 MADISON AVE
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City | MADISON
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State | NJ
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Zip | 07940-1006
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Country | US
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Telephone | 862-237-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 601 PATRIOT LN
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-1624
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Country | US
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Telephone | 862-237-0037
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 173-053
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License Number State | NJ
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