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General NPI Number Information
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NPI Number | 1407995707
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Entity Type | Individual
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Provider Name | MS. ELEANOR L BLOCH
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 29 BALA AVE SUITE 224
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3209
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Country | US
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Telephone | 610-405-0238
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Fax | 610-667-7141
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Provider Business Mailing Address
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Address Line | 439 ANTHWYN RD
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City | NARBERTH
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State | PA
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Zip | 19072
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Country | US
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Telephone | 610-660-0879
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CW004967L
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License Number State | PA
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