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General NPI Number Information
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NPI Number | 1275603706
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Entity Type | Individual
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Provider Name | ELLEN FURMAN
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 8001 ROOSEVELT BLVD # 205-207
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City | PHILADELPHIA
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State | PA
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Zip | 19152-3038
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Country | US
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Telephone | 215-332-1914
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Fax | 215-332-1873
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Provider Business Mailing Address
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Address Line | 71 SHELBOURNE CT
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City | CHESTERBROOK
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State | PA
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Zip | 19087-5723
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Country | US
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Telephone | 610-363-1488
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Fax | 610-363-8273
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC003933
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License Number State | PA
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