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General NPI Number Information
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NPI Number | 1215973615
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Entity Type | Individual
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Provider Name | JOSEPH BRIAN LACOMBE PHD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 GERMANTOWN PIKE
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City | LAFAYETTE HILL
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State | PA
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Zip | 19444
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Country | US
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Telephone | 610-828-4507
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Fax | 610-941-5532
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Provider Business Mailing Address
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Address Line | 202 HANCOCK AVE
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City | NORRISTOWN
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State | PA
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Zip | 19401
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Country | US
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Telephone | 610-277-3352
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Fax | 610-941-5532
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS005288L
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License Number State | PA
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