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General NPI Number Information
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NPI Number | 1447342084
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Entity Type | Individual
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Provider Name | JOHN SLOYER M.A.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 ROUTE 522
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City | SELINSGROVE
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State | PA
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Zip | 17870-8707
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Country | US
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Telephone | 570-372-2561
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Fax |
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Provider Business Mailing Address
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Address Line | 304 HAWTHORNE DR
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City | LEWISBURG
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State | PA
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Zip | 17837-6664
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Country | US
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Telephone | 570-524-5126
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS004727L
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License Number State | PA
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