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General NPI Number Information
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NPI Number | 1619285004
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Entity Type | Organization
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Legal Business Name | PSYCARE SOLUTIONS, INC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 8302 OLD YORK RD SUITE 12
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City | ELKINS PARK
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State | PA
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Zip | 19027-1522
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Country | US
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Telephone | 215-885-9700
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Fax | 215-886-7678
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Provider Business Mailing Address
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Address Line | 8302 OLD YORK RD SUITE 12
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City | ELKINS PARK
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State | PA
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Zip | 19027-1522
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Country | US
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Telephone | 215-885-9700
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Fax | 215-886-7678
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. ELLEN M ADELMAN
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Credential | PH.D
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Telephone | 215-885-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN003861
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License Number State | PA
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