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General NPI Number Information
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NPI Number | 1174664973
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Entity Type | Organization
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Legal Business Name | TRANSITIONS, PROVIDING SUPPORT FOR CHANGE
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 255 BUTLER AVE
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City | LANCASTER
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State | PA
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Zip | 17601-6308
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Country | US
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Telephone | 717-396-1365
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Fax | 717-396-1365
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Provider Business Mailing Address
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Address Line | 17 RIVERSIDE AVE
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City | LANCASTER
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State | PA
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Zip | 17602-3245
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Country | US
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Telephone | 717-396-1365
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Fax | 717-396-1365
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN J. ATKINS
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Credential | PH.D.
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Telephone | 717-396-1365
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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 | PS006493L
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License Number State | PA
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