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General NPI Number Information
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NPI Number | 1134561731
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Entity Type | Individual
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Provider Name | RICHARD S NEAL
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 499 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4005
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Country | US
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Telephone | 267-968-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WILLHELEN CT
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City | BEAR
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State | DE
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Zip | 19701-4818
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Country | US
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Telephone | 267-968-8211
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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