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General NPI Number Information
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NPI Number | 1063620490
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Entity Type | Organization
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Legal Business Name | ALLIED ASSOCIATES IN MENTAL HEALTH, INC.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 04/06/2015
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Provider Practice Location Address
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Address Line | 7318 GERMANTOWN AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19119
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Country | US
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Telephone | 215-242-0900
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Fax | 215-242-0912
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Provider Business Mailing Address
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Address Line | 7318 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1725
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Country | US
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Telephone | 215-242-0900
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Fax | 215-242-0912
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PATRICK RONALD GRECCO
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Credential | PHD
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Telephone | 215-242-0900
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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 | PS004927L
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License Number State | PA
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