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General NPI Number Information
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NPI Number | 1144356106
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER HERSHMAN
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 923 BROOKSIDE RD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9441
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Country | US
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Telephone | 610-366-7880
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Fax | 610-366-1960
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Provider Business Mailing Address
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Address Line | 923 BROOKSIDE RD P.O. BOX 3303
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City | ALLENTOWN
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State | PA
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Zip | 18106-9441
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Country | US
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Telephone | 610-366-7880
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Fax | 610-366-1960
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | CHRISTOPHER HERSHMAN
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Credential | MA, STM, DMIN
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Telephone | 610-366-7880
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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 | PS007502 L
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License Number State | PA
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