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General NPI Number Information
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NPI Number | 1598231821
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH TROMBETTA ATR, B.C., LPC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2018
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Last Update Date | 10/14/2018
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Provider Practice Location Address
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Address Line | 845 N BEECHWOOD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1436
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Country | US
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Telephone | 215-460-0591
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Fax |
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Provider Business Mailing Address
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Address Line | 1728 PINE ST APT 1R
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6782
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Country | US
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Telephone | 215-460-0591
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC006245
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License Number State | PA
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