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General NPI Number Information
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NPI Number | 1982970851
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Entity Type | Organization
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Legal Business Name | HUNDAL NEUROPSYCHOLOGY GROUP, LLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 2060 OAK TREE RD 3RD FLOOR
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City | EDISON
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State | NJ
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Zip | 08820-2058
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Country | US
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Telephone | 732-395-7081
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Fax |
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Provider Business Mailing Address
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Address Line | 9105 SUMMIT WAY
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City | WATCHUNG
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State | NJ
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Zip | 07069-7401
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Country | US
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Telephone | 732-395-7081
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JASDEEP SINGH HUNDAL
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Credential | PSY.D.
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Telephone | 646-926-4879
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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 | 68-019245
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 68-019245
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35SI00506700
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License Number State | NJ
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