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General NPI Number Information
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NPI Number | 1235295387
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Entity Type | Individual
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Provider Name | RALPH H JAFFE PSY.D
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Gender | Male
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 8229 FORREST AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-2429
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Country | US
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Telephone | 215-782-8861
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Fax | 215-689-2880
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Provider Business Mailing Address
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Address Line | 8229 FORREST AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-2429
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Country | US
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Telephone | 215-782-8861
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Fax | 215-689-2880
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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 | PS 006876 L
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License Number State | PA
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