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General NPI Number Information
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NPI Number | 1154184109
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Entity Type | Organization
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Legal Business Name | CENTER FOR ANXIETY & BEHAVIOR THERAPY
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 940 E HAVERFORD RD STE 301
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City | BRYN MAWR
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State | PA
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Zip | 19010-3859
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Country | US
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Telephone | 610-455-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 940 E HAVERFORD RD STE 301
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City | BRYN MAWR
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State | PA
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Zip | 19010-3859
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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 | CO-FOUNDER
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Name | STEVEN TSAO
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Credential |
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Telephone | 610-455-5757
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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 |
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License Number State |
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