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General NPI Number Information
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NPI Number | 1982179362
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Entity Type | Individual
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Provider Name | JOSEPH A KEIFER PSY.D
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Gender | Male
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 475 WALL ST
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City | PRINCETON
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State | NJ
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Zip | 08540-1509
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Country | US
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Telephone | 609-200-5402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 353
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City | ROCKY HILL
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State | NJ
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Zip | 08553-0353
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 025507
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018593
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00618900
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License Number State | NJ
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