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General NPI Number Information
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NPI Number | 1427594951
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Entity Type | Organization
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Legal Business Name | RESILIENCE
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Dates
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Enumeration Date | 01/08/2017
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Last Update Date | 01/08/2017
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Provider Practice Location Address
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Address Line | 1816 W POINT PIKE SUITE 208
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City | LANSDALE
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State | PA
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Zip | 19446-5696
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Country | US
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Telephone | 215-512-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 BERRY DR
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City | HATFIELD
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State | PA
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Zip | 19440-2104
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Country | US
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Telephone | 215-512-6135
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Fax |
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Authorized Official
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Title or Position | OWNER, LEAD CLINICIAN
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Name | DR. IRENE K KOVACS-DONAGHY
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Credential | PHD, LPC
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Telephone | 215-512-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PC004455
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License Number State | PA
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