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General NPI Number Information
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NPI Number | 1679193114
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Entity Type | Organization
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Legal Business Name | INROAD BEHAVIORAL AND SOCIAL HEALTH
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 3304 OLD CAPITOL TRL STE 201
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City | WILMINGTON
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State | DE
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Zip | 19808-6210
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Country | US
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Telephone | 610-357-6901
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 DELPA DR
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City | LANDENBERG
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State | PA
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Zip | 19350-9368
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Country | US
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Telephone | 610-357-6901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. URMI LAHIRI BANERJEE
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Credential | MA
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Telephone | 610-357-6901
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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 |
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License Number State |
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