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General NPI Number Information
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NPI Number | 1619083318
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Entity Type | Individual
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Provider Name | ANDREW ERIC OFFENBECHER PHD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 780 NEWTOWN YARDLEY RD SUITE 323
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City | NEWTOWN
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State | PA
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Zip | 18940-4502
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Country | US
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Telephone | 215-579-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 3208 STOCKTON PLACE
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City | HOLLAND
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State | PA
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Zip | 18966
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Country | US
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Telephone | 215-579-1604
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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 | PS003733L
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License Number State | PA
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