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General NPI Number Information
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NPI Number | 1881951895
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Entity Type | Individual
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Provider Name | JON ALAN LYMAN PSY.D
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Gender | Male
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Dates
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Enumeration Date | 04/15/2012
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Last Update Date | 04/15/2012
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Provider Practice Location Address
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Address Line | 67 BEAVER AVE SUITE #10
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City | ANNANDALE
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State | NJ
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Zip | 08801-3071
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Country | US
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Telephone | 908-892-6903
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Fax | 908-238-0067
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Provider Business Mailing Address
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Address Line | 17 JEREMIAH LN
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City | PITTSTOWN
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State | NJ
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Zip | 08867-5168
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Country | US
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Telephone | 908-892-6903
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NJ
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