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General NPI Number Information
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NPI Number | 1124596275
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Entity Type | Individual
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Provider Name | DEBORAH O'BRIEN LPC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | ROBIN DOWNS & ASSOCIATES (SECOND FLOOR) 2189 SECOND STREET PIKE
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 267-210-3576
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Fax |
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Provider Business Mailing Address
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Address Line | 4320 WOOD AVE
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City | FSTRVL TRVOSE
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State | PA
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Zip | 19053-4741
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PA009823
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License Number State | PA
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