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General NPI Number Information
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NPI Number | 1003079633
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Entity Type | Organization
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Legal Business Name | ROBERT SCHWARZ, PSYD,PC
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 233 E LANCASTER AVE SUITE 104
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City | ARDMORE
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State | PA
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Zip | 19003-2321
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Country | US
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Telephone | 610-642-0884
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Fax |
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Provider Business Mailing Address
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Address Line | 233 E LANCASTER AVE SUITE 104
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City | ARDMORE
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State | PA
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Zip | 19003-2321
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Country | US
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Telephone | 610-642-0884
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT ALAN SCHWARZ
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Credential | PSY.D.
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Telephone | 610-642-0884
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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 | 004853L
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License Number State | PA
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