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General NPI Number Information
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NPI Number | 1104471168
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Entity Type | Individual
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Provider Name | EMILY KATHERINE EARLEY
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Gender | Female
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 27 W ATHENS AVE
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City | ARDMORE
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State | PA
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Zip | 19003-1321
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Country | US
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Telephone | 484-416-5745
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Fax |
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Provider Business Mailing Address
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Address Line | 15 SOUTH ST
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City | HUDSON
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State | MA
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Zip | 01749-2205
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024630
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License Number State | PA
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