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General NPI Number Information
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NPI Number | 1932604618
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Entity Type | Individual
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Provider Name | ADRIENNE GARRO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | KEAN UNIVERSITY EAST CAMPUS 215 NORTH AVENUE DEPT. OF ADVANCED STUDIES IN PSYCHOLOGY EAST CAMPUS
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City | HILLSIDE
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State | NJ
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Zip | 07205
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Country | US
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Telephone | 908-737-5876
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 UPPER STATE RD
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City | CHALFONT
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State | PA
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Zip | 18914-3440
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Country | US
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Telephone | 215-997-1980
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS017203
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License Number State | PA
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