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General NPI Number Information
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NPI Number | 1699100958
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Entity Type | Organization
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Legal Business Name | CENTER CITY NEUROPSYCHOLOGY LLC
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 1518 WALNUT ST SUITE 1103
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3419
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Country | US
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Telephone | 215-985-0200
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Fax | 215-968-9385
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Provider Business Mailing Address
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Address Line | 1518 WALNUT ST SUITE 1103
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3419
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Country | US
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Telephone | 215-985-0200
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Fax | 215-968-9385
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILY ASKIN
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Credential | PHD
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Telephone | 215-985-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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