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General NPI Number Information
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NPI Number | 1770081283
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Entity Type | Individual
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Provider Name | EMILY ALISSA BABIKOW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 700 LANCASTER RD
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City | MANHEIM
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State | PA
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Zip | 17545-2314
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Country | US
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Telephone | 717-560-3782
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Fax | 717-560-3787
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Provider Business Mailing Address
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Address Line | 1030 NEW HOLLAND AVE BLDG 12A
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City | LANCASTER
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State | PA
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Zip | 17601-5690
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Country | US
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Telephone | 717-560-3782
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Fax | 717-560-3787
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019714
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License Number State | PA
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