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General NPI Number Information
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NPI Number | 1518149061
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Entity Type | Organization
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Legal Business Name | DUNBAR STRATEGIC CONSULTING GROUP
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 4232 PARKSIDE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-1021
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Country | US
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Telephone | 267-679-2215
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Fax | 215-860-5103
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Provider Business Mailing Address
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Address Line | 4232 PARKSIDE AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-1021
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Country | US
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Telephone | 267-679-2215
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Fax | 215-860-5103
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. REGINALD BANKS
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Credential | PH.D.
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Telephone | 267-679-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 015203
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License Number State | PA
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