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General NPI Number Information
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NPI Number | 1104392489
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Entity Type | Individual
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Provider Name | EMILY SZELIGA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 2100 N 49TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2633
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Country | US
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Telephone | 215-877-1565
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 MARLBOROUGH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3921
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Country | US
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Telephone | 413-441-6306
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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