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General NPI Number Information
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NPI Number | 1306041298
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Entity Type | Individual
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Provider Name | JOYCE RAFIDI-TATUM PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 201 N 4TH AVE SUITE 101
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City | ROYERSFORD
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State | PA
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Zip | 19468-1952
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Country | US
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Telephone | 610-948-0393
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Fax |
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Provider Business Mailing Address
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Address Line | 116 ROSE VALLEY RD
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City | POTTSTOWN
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State | PA
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Zip | 19464-1566
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Country | US
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Telephone | 610-705-0543
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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 | PS 016099
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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 | PS 016099
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License Number State | PA
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