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General NPI Number Information
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NPI Number | 1558607259
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Entity Type | Organization
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Legal Business Name | FRANCIEN CHENOWETH DORLIAE PSYD LLC FCD AND ASSOCIATES PSYCH SVCES
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 704 W GIRARD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1313
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Country | US
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Telephone | 215-922-2050
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Fax | 866-562-1376
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | SWEDESBORO
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State | NJ
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Zip | 08085-0092
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Country | US
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Telephone | 215-922-2050
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Fax | 866-562-1376
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. FRANCIEN CHENOWETH RICHARDSON
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Credential | PSYD
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Telephone | 856-343-5848
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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 | PS016687
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License Number State | PA
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