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General NPI Number Information
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NPI Number | 1396074118
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Entity Type | Individual
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Provider Name | CYNTHIA MARIA KELLEY M.S.S
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Gender | Female
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 4 CORNERSTONE DRIVE
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-757-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 160 SOUTH MAIN STREET APARTMENT 1
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City | YARDLEY
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State | PA
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Zip | 19067
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Country | US
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Telephone | 267-304-0346
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW-010950-L
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License Number State | PA
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