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General NPI Number Information
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NPI Number | 1023428737
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF PENNSYLVANIA
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 349 W. LANCASTER AVENUE SUITE 206
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City | HAVERFORD
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State | PA
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Zip | 19041
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Country | US
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Telephone | 215-565-1005
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Fax | 215-494-1072
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Provider Business Mailing Address
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Address Line | 349 W. LANCASTER AVENUE SUITE 206
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City | HAVERFORD
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State | PA
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Zip | 19041
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Country | US
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Telephone | 215-565-1005
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Fax | 215-494-1070
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Authorized Official
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Title or Position | DOCTOR
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Name | ELENA T DEL BUSTO
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Credential | M.D.
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Telephone | 215-565-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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