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General NPI Number Information
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NPI Number | 1265772693
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Entity Type | Organization
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Legal Business Name | BRANDYWINE NEUROPSYCHOLOGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 5 CHRISTY DR SUITE 102
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City | CHADDS FORD
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State | PA
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Zip | 19317-9682
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Country | US
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Telephone | 610-999-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SPRING LN
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City | CHADDS FORD
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State | PA
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Zip | 19317-9700
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Country | US
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Telephone | 610-999-1441
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Fax | 888-732-8120
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE E. LEDAKIS
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Credential | PH.D.
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Telephone | 610-999-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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