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General NPI Number Information
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NPI Number | 1629299524
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Entity Type | Organization
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Legal Business Name | ATTACHMENT AND BONDING CENTER OF PA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 800 YORK RD
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City | WARMINSTER
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State | PA
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Zip | 18974-2006
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Country | US
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Telephone | 215-443-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 2058 COUNTY LINE RD # 137
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1739
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Country | US
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Telephone | 215-443-5060
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LISA LIND
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Credential |
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Telephone | 215-443-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW 012674
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License Number State | PA
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