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General NPI Number Information
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NPI Number | 1093774010
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Entity Type | Organization
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Legal Business Name | METROPOLITAN CONSULTATION ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 1011 BROOKSIDE RD SUITE 305
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City | ALLENTOWN
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State | PA
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Zip | 18106-9020
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Country | US
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Telephone | 610-437-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 BROOKSIDE RD SUITE 305
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City | ALLENTOWN
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State | PA
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Zip | 18106-9020
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Country | US
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Telephone | 610-437-2277
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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. MARIO ALONSO
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Credential | PH.D.
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Telephone | 610-437-2277
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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 | PS002534L
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License Number State | PA
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