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General NPI Number Information
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NPI Number | 1548206865
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Entity Type | Individual
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Provider Name | JUDITH MARSH PHD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 N 17TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-5044
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Country | US
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Telephone | 610-432-4351
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Fax |
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Provider Business Mailing Address
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Address Line | 213 W MOUNT PLEASANT AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2414
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Country | US
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Telephone | 215-248-1634
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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 | PS 005160-L
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License Number State | PA
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