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General NPI Number Information
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NPI Number | 1346992658
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Entity Type | Individual
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Provider Name | PETRA ARTZ M.P.S, ATR-BC, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 600 HAVERFORD RD STE G101
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City | HAVERFORD
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State | PA
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Zip | 19041-1139
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Country | US
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Telephone | 610-649-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 SHACKAMAXON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3914
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Country | US
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Telephone | 215-327-4935
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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