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NPI 1467746677

NPI 1467746677 : DR. URI WEINBLATT : PENN VALLEY, PA

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General NPI Number Information
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    NPI Number           |    1467746677
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    Entity Type          |    Individual 
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    Provider Name        |    DR. URI WEINBLATT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/06/2011
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    Last Update Date     |    06/06/2011
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Provider Practice Location Address
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    Address Line         |    1600 HAGYS FORD RD 
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    City                 |    PENN VALLEY
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    State                |    PA
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    Zip                  |    19072-1051
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    Country              |    US
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    Telephone            |    610-410-7278
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4025 CHESTNUT ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-3081
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    Country              |    US
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    Telephone            |    
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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       |    
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    License Number State |    
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