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General NPI Number Information
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NPI Number | 1346436375
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Entity Type | Individual
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Provider Name | SUSAN C ADELMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 28 GARRETT AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-1400
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Country | US
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Telephone | 610-645-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 469 WYNGATE RD
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2351
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Country | US
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Telephone | 610-645-7574
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | PS007543L
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License Number State | PA
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