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General NPI Number Information
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NPI Number | 1972997187
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Entity Type | Organization
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Legal Business Name | NEUROCOGNITIVE HEALTH ASSOCIATES
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 1 ENGLE ST SUITE 100
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2940
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Country | US
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Telephone | 646-306-2091
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Fax |
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Provider Business Mailing Address
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Address Line | 131 COLUMBUS DR
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City | TENAFLY
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State | NJ
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Zip | 07670-1635
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Country | US
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Telephone | 646-306-2091
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. SANDRA BELL MCGINTY
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Credential | PH.D.
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Telephone | 646-306-2091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35S100533700
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License Number State | NJ
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