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General NPI Number Information
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NPI Number | 1619020534
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Entity Type | Individual
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Provider Name | DEAN R. DICKSON MS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22 S STATE ST
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City | NEWTOWN
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State | PA
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Zip | 18940-3507
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Country | US
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Telephone | 215-860-3450
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Fax | 215-860-3356
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Provider Business Mailing Address
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Address Line | 18 ORCHARD WAY
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City | YARDLEY
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State | PA
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Zip | 19067-3051
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Country | US
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Telephone | 215-493-6709
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Fax | 215-860-3356
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-005765-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 047-0000681
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License Number State | VT
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