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General NPI Number Information
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NPI Number | 1184576969
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Entity Type | Individual
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Provider Name | ALYSSA NICOLOSI
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2500 YORK RD STE 145
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City | JAMISON
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State | PA
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Zip | 18929-1092
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Country | US
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Telephone | 215-491-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 261 N TAMENEND AVE
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City | DOYLESTOWN
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State | PA
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Zip | 18901-5168
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Country | US
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Telephone | 215-491-9900
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW026879
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License Number State | PA
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