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General NPI Number Information
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NPI Number | 1891362083
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Entity Type | Individual
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Provider Name | CHRISTINE AYERS MA, PD, NCSP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 968 TOWNLEY AVE
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City | UNION
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State | NJ
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Zip | 07083-7563
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Country | US
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Telephone | 908-265-6624
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Fax |
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Provider Business Mailing Address
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Address Line | 968 TOWNLEY AVE
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City | UNION
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State | NJ
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Zip | 07083-7563
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Country | US
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Telephone | 908-265-6624
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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 | 1066569
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License Number State | NJ
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