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General NPI Number Information
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NPI Number | 1215540166
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Entity Type | Organization
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Legal Business Name | IMMANUEL INSTITUTE OF PSYCHOLOGY
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 16192 COASTAL HWY
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City | LEWES
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State | DE
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Zip | 19958-3608
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Country | US
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Telephone | 302-559-4497
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Fax |
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Provider Business Mailing Address
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Address Line | 16192 COASTAL HWY
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City | LEWES
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State | DE
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Zip | 19958-3608
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Country | US
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Telephone | 302-559-4497
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. SINCHEN A MCDUFFY
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Credential | LPCMH
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Telephone | 302-559-4497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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