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General NPI Number Information
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NPI Number | 1477524437
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Entity Type | Individual
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Provider Name | FAYE LANDAU KAHN L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2300 WALNUT ST SUITE # 609
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5552
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Country | US
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Telephone | 215-805-1202
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Fax | 215-568-6161
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Provider Business Mailing Address
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Address Line | 3600 OCEAN AVE
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City | BRIGANTINE
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State | NJ
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Zip | 08203-1550
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Country | US
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Telephone | 215-805-1202
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Fax | 215-568-6161
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWL4735351
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License Number State | PA
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