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NPI 1568198596

NPI 1568198596 : DEBBIE DIEP BS., MS. : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1568198596
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    Entity Type          |    Individual 
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    Provider Name        |    DEBBIE DIEP BS., MS.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2022
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    Last Update Date     |    08/01/2022
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Provider Practice Location Address
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    Address Line         |    4522 BALTIMORE AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19143-3705
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    Country              |    US
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    Telephone            |    215-259-8491
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2041 CHESTNUT ST APT 15 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19103-3328
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    Country              |    US
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    Telephone            |    352-434-1341
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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