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General NPI Number Information
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NPI Number | 1245433101
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Entity Type | Individual
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Provider Name | ELLIOTT HAROLD SCHREIBER EDD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 708 CAMDEN AVE
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City | MOORESTOWN
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State | NJ
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Zip | 08057
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Country | US
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Telephone | 856-235-7142
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Fax | 856-235-7142
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Provider Business Mailing Address
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Address Line | 708 CAMDEN AVE
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City | MOORESTOWN
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State | NJ
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Zip | 08057
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Country | US
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Telephone | 856-235-7142
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Fax | 856-235-7142
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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 | P5001589
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35S100042500
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License Number State | NJ
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