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General NPI Number Information
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NPI Number | 1386910156
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Entity Type | Organization
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Legal Business Name | SARAH C. ROSENBAUM, PH.D., LLC
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 101 GREENWOOD AVE SUITE 410
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City | JENKINTOWN
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State | PA
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Zip | 19046-2627
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Country | US
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Telephone | 267-972-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 323 CREST PARK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19119-1014
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Country | US
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Telephone | 267-972-9001
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Fax | 215-844-5693
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. SARAH C ROSENBAUM
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Credential | PH.D.
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Telephone | 267-972-9001
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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 | PS008962
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License Number State | PA
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