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General NPI Number Information
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NPI Number | 1417640228
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Entity Type | Individual
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Provider Name | SUSAN RACHEL HUNT PSY.D
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Gender | Female
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 261 OLD YORK RD STE 318
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City | JENKINTOWN
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State | PA
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Zip | 19046-3709
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Country | US
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Telephone | 215-885-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 112 SIMPSON RD
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City | ARDMORE
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State | PA
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Zip | 19003-2106
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Country | US
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Telephone | 610-283-9107
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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 | 019472
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License Number State | PA
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