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General NPI Number Information
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NPI Number | 1245375666
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Entity Type | Organization
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Legal Business Name | MARGOLIS BERMAN BYRNE HEALTH PSYCHOLOGY, P.C.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1015 CHESTNUT ST STE 901
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4309
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Country | US
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Telephone | 215-592-0139
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Fax | 215-592-1675
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Provider Business Mailing Address
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Address Line | 1015 CHESTNUT ST STE 901
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4309
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Country | US
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Telephone | 215-592-0139
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Fax | 215-592-1675
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Authorized Official
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Title or Position | CORPORATE SEC TREASURER OFFICE MNGR
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Name | JENNIFER FRIEDMAN
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Credential |
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Telephone | 215-592-0139
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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 |
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License Number State |
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