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General NPI Number Information
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NPI Number | 1770001026
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Entity Type | Organization
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Legal Business Name | CLAUDIA ROSENBERG PHD LCSW LLC
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1262 WOOD LN STE 206
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City | LANGHORNE
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State | PA
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Zip | 19047-4251
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Country | US
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Telephone | 267-209-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 664 LESLIE LN
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City | YARDLEY
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State | PA
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Zip | 19067-4468
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Country | US
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Telephone | 267-209-3005
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER-CLINICIAN
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Name | DR. CLAUDIA ROSENBERG
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Credential | LCSW
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Telephone | 267-209-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | CW016234
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License Number State | PA
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