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General NPI Number Information
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NPI Number | 1730679275
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Entity Type | Organization
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Legal Business Name | KAREN ESELSON BELDING PSYD LLC
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 255 S 17TH ST STE 2510
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6206
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Country | US
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Telephone | 215-732-4229
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Fax |
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Provider Business Mailing Address
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Address Line | 255 S 17TH ST STE 2510
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6206
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Country | US
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Telephone | 215-732-4229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN E BELDING
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Credential | PSYD
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Telephone | 215-732-4229
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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 | PS005493-L
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License Number State | PA
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