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General NPI Number Information
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NPI Number | 1336100387
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Entity Type | Organization
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Legal Business Name | VALLEY PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 1045 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-5443
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Country | US
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Telephone | 610-433-3360
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Fax | 610-432-3110
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Provider Business Mailing Address
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Address Line | 1045 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-5443
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Country | US
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Telephone | 610-433-3360
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Fax | 610-432-3110
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JAMES KINS MARGOLIS
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Credential | PH.D.
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Telephone | 610-433-3360
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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 | PS004698L
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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 | PS002825L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS007168L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS004698L
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License Number State | PA
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