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General NPI Number Information
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NPI Number | 1609289560
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Entity Type | Individual
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Provider Name | CHRISTINA M VORNDRAN PH.D., B.C.B.A.-D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 425 KINGS HWY E
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City | HADDONFIELD
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State | NJ
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Zip | 08033-1206
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Country | US
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Telephone | 856-524-7032
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Fax |
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Provider Business Mailing Address
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Address Line | 214 MOYLAN AVE
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City | WALLINGFORD
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State | PA
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Zip | 19086-6122
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Country | US
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Telephone | 610-892-2741
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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 | 35S100516300
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License Number State | NJ
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