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General NPI Number Information
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NPI Number | 1063541068
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Entity Type | Individual
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Provider Name | EVELYN RUTH SACHS LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 ARCH STREET 5TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-496-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 236 PHILIP PLACE
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City | PHILADELPHIA
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State | PA
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Zip | 19106
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Country | US
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Telephone | 215-922-4682
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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