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General NPI Number Information
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NPI Number | 1144471483
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Entity Type | Individual
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Provider Name | ROSANNE LEE EDENHART-PEPE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 121 LISETTE DR
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City | RICHBORO
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State | PA
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Zip | 18954-2052
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Country | US
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Telephone | 215-680-1748
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Fax | 215-322-5902
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Provider Business Mailing Address
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Address Line | 121 LISETTE DR
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City | RICHBORO
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State | PA
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Zip | 18954-2052
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016141
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS016141
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PS016141
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PS016141
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License Number State | PA
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