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NPI 1679538417

NPI 1679538417 : DREW ALIKAKOS MS : WEST CHESTER, PA

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General NPI Number Information
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    NPI Number           |    1679538417
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    Entity Type          |    Individual 
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    Provider Name        |    DREW ALIKAKOS MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/17/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    811 WEST CHESTER PIKE 
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    City                 |    WEST CHESTER
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    State                |    PA
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    Zip                  |    19382
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    Country              |    US
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    Telephone            |    610-308-2290
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    Fax                  |    610-696-4808
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Provider Business Mailing Address
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    Address Line         |    808 AMELIA DR 
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    City                 |    WEST CHESTER
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    State                |    PA
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    Zip                  |    19382
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    Country              |    US
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    Telephone            |    610-308-2290
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    Fax                  |    610-696-4808
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PS006723L
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    License Number State |    PA
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