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General NPI Number Information
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NPI Number | 1134593932
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Entity Type | Organization
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Legal Business Name | AK COUNSELING, LLC
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 600 W GERMANTOWN PIKE SUITE 400
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1046
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Country | US
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Telephone | 215-690-1094
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Fax | 267-733-6165
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Provider Business Mailing Address
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Address Line | 263 BIRCH DR
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444-2103
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Country | US
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Telephone | 215-690-1094
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Fax | 267-733-6165
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Authorized Official
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Title or Position | OWNER
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Name | ALISHA KATZ
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Credential | LCSW,MSS
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Telephone | 215-690-1094
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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 | CW014796
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License Number State | PA
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