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General NPI Number Information
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NPI Number | 1922581677
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Entity Type | Organization
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Legal Business Name | JOSEPH R. DAVIDOW, ED.D., LLC
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 2021 NEW RD STE 10
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City | LINWOOD
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State | NJ
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Zip | 08221-1045
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Country | US
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Telephone | 609-601-7737
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Fax | 609-601-7739
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Provider Business Mailing Address
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Address Line | 2021 NEW RD STE 10
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City | LINWOOD
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State | NJ
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Zip | 08221-1045
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Country | US
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Telephone | 609-601-7737
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Fax | 609-601-7739
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. JOSEPH R DAVIDOW
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Credential | ED.D.
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Telephone | 609-601-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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