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General NPI Number Information
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NPI Number | 1780999649
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Entity Type | Organization
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Legal Business Name | MINDFUL EXPOSURE THERAPY FOR ANXIETY AND PSYCHOLOGICAL WELLNESS CENTER
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 1800 HORACE AVE GROUND FLOOR
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City | ABINGTON
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State | PA
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Zip | 19001-3808
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Country | US
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Telephone | 717-602-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 HORACE AVE GROUND FLOOR
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City | ABINGTON
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State | PA
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Zip | 19001-3808
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Country | US
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Telephone | 717-602-6202
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE MOLNAR
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Credential | PH.D.
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Telephone | 267-287-8347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016095
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License Number State | PA
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