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General NPI Number Information
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NPI Number | 1205066487
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Entity Type | Individual
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Provider Name | JOSEPH CHARLES YASKIN L.C.S.W
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Gender | Male
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 4 E GERMANTOWN PIKE
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1533
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Country | US
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Telephone | 484-278-1755
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Fax | 844-673-2239
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Provider Business Mailing Address
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Address Line | 148 STONEWAY LN
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3125
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Country | US
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Telephone | 610-450-6763
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Fax | 866-446-1126
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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 | CW016999
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License Number State | PA
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