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General NPI Number Information
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NPI Number | 1154630085
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Entity Type | Organization
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Legal Business Name | KENNETH A SPERLING CORP
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 600 LOUIS DR SUITE 206 A
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City | WARMINSTER
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State | PA
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Zip | 18974-2844
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Country | US
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Telephone | 215-672-1442
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Fax | 215-672-0288
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Provider Business Mailing Address
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Address Line | 600 LOUIS DR SUITE 206 A
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City | WARMINSTER
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State | PA
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Zip | 18974-2844
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Country | US
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Telephone | 215-672-1442
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Fax | 215-672-0288
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. KENNETH ALAN SPERLING
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Credential | PH.D
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Telephone | 215-672-1442
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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 | PS002218-L
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License Number State | PA
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