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General NPI Number Information
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NPI Number | 1720106347
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Entity Type | Individual
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Provider Name | ELIZABETH SOUCAR PHD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 696 SECOND STREET PIKE SUITE 201
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City | RICHBORO
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State | PA
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Zip | 18954-1068
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Country | US
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Telephone | 267-229-8465
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Fax |
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Provider Business Mailing Address
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Address Line | 34 HEATHER CT
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City | NEWTOWN
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State | PA
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Zip | 18940-1542
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Country | US
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Telephone | 267-229-8465
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Fax |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS016692
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016692
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PS016692
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License Number State | PA
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