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General NPI Number Information
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NPI Number | 1033514856
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Entity Type | Individual
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Provider Name | MANISHA SHENDGE D.MIN., CT, LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 444 VALLEY FORGE RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2514
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Country | US
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Telephone | 610-482-2528
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Fax |
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Provider Business Mailing Address
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Address Line | 41 PENNWOOD DR
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City | MORGANTOWN
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State | PA
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Zip | 19543-8821
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Country | US
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Telephone | 610-207-6298
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000736
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License Number State | PA
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