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General NPI Number Information
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NPI Number | 1104130350
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Entity Type | Individual
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Provider Name | EMILY SARAH KUSCHNER PHD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 08/03/2013
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Provider Practice Location Address
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Address Line | 3535 MARKET ST 8TH FLOOR, SUITE 860
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3309
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Country | US
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Telephone | 267-426-1471
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 MARKET ST 8TH FLOOR, SUITE 860
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3309
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P73229
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04978
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1000683
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License Number State | DC
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