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General NPI Number Information
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NPI Number | 1427201862
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Entity Type | Organization
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Legal Business Name | DELEWARE VALLY CHILDREN'S CENTER
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 121 FORREST CREEK CT
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City | LANGHORNE
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State | PA
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Zip | 19053-4266
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Country | US
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Telephone | 215-284-3845
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Fax |
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Provider Business Mailing Address
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Address Line | 121 FORREST CREEK CT
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City | LANGHORNE
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State | PA
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Zip | 19053-4266
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Country | US
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Telephone | 215-284-3845
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR SPECIALIST CONSULTANT
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Name | MRS. ADRIANNA ZENIA SIMONDS
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Credential | MED
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Telephone | 215-284-3845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | PA
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