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General NPI Number Information
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NPI Number | 1003957671
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Entity Type | Organization
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Legal Business Name | PHILIP L WEBER, PSY.D., PC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 VICTORIA CT
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City | MALVERN
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State | PA
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Zip | 19355-8502
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Country | US
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Telephone | 610-578-0974
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Fax |
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Provider Business Mailing Address
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Address Line | 103 VICTORIA CT
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City | MALVERN
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State | PA
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Zip | 19355-8502
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Country | US
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Telephone | 610-578-0974
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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. PHILIP L WEBER
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Credential | PSY.D.
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Telephone | 610-578-0974
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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 | PS005914L
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License Number State | PA
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