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General NPI Number Information
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NPI Number | 1982331062
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Entity Type | Individual
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Provider Name | ESTHER SOBERMAN
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 416 8TH ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2670
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Country | US
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Telephone | 845-587-1614
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Fax |
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Provider Business Mailing Address
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Address Line | 23 RAYMOND AVE
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-6311
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 15BC00232600
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License Number State | NJ
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