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General NPI Number Information
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NPI Number | 1265557474
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Entity Type | Individual
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Provider Name | NAN FUERTH SCHIOWITZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2500 GRUBB RD SUITE 240
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City | WILMINGTON
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State | DE
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Zip | 19810-4799
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Country | US
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Telephone | 302-475-1880
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Fax | 302-475-2964
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Provider Business Mailing Address
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Address Line | 725 S WARNOCK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1927
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Country | US
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Telephone | 215-439-1729
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0000263
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License Number State | DE
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