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General NPI Number Information
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NPI Number | 1386682995
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Entity Type | Individual
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Provider Name | ANN EVELYN SADR PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1150 GLENLIVET DR SUITE A18
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City | ALLENTOWN
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State | PA
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Zip | 18106-3112
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Country | US
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Telephone | 610-395-1696
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Fax | 610-395-1697
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Provider Business Mailing Address
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Address Line | 4250 KNOLLWOOD DR
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City | EMMAUS
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State | PA
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Zip | 18049-4560
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Country | US
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Telephone | 610-967-1384
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016039
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License Number State | PA
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