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General NPI Number Information
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NPI Number | 1801879747
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Entity Type | Individual
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Provider Name | DAVID N SEIDMAN ED.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 8302 OLD YORK RD
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City | ELKINS PARK
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State | PA
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Zip | 19027-1522
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Country | US
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Telephone | 215-572-6517
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Fax | 215-576-7816
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Provider Business Mailing Address
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Address Line | 588 HIDDEN LAIR DR
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City | BLUE BELL
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State | PA
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Zip | 19422-1368
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Country | US
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Telephone | 215-699-3605
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS003335L
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License Number State | PA
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