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General NPI Number Information
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NPI Number | 1205700226
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Entity Type | Individual
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Provider Name | CORNELIA MARTHA MCBRIDE MS
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 345 N YORK RD
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City | HATBORO
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State | PA
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Zip | 19040-2045
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Country | US
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Telephone | 215-323-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 ARDLEIGH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3411
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Country | US
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Telephone | 973-619-5828
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | PA
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