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General NPI Number Information
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NPI Number | 1629347976
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Entity Type | Organization
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Legal Business Name | NEWTOWN COUNSELING AND EVALUATION SERVICES LLC
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 4 TERRY DR SUITE 11
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City | NEWTOWN
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State | PA
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Zip | 18940-1838
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Country | US
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Telephone | 267-249-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 4 TERRY DR SUITE 11
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City | NEWTOWN
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State | PA
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Zip | 18940-1838
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Country | US
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Telephone | 267-249-3318
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID K ATTRYDE
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Credential | MS LPC
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Telephone | 12672493318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000888
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License Number State | PA
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