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General NPI Number Information
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NPI Number | 1447723614
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Entity Type | Individual
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Provider Name | GENEVIEVE MARMO REICH PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 4403 BIRKLAND PL # 1013
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City | TATAMY BOROUGH
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State | PA
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Zip | 18045-4701
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Country | US
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Telephone | 856-200-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 CARA CT
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City | EASTON
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State | PA
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Zip | 18040-8780
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Country | US
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Telephone | 856-200-8363
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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 | B1-0001167
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00618500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS019322
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License Number State | PA
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