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General NPI Number Information
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NPI Number | 1831343136
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Entity Type | Organization
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Legal Business Name | LENAPE VALLEY FOUNDATION
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 1750 S EASTON RD
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2885
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Country | US
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Telephone | 215-340-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N WEST ST
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2366
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Country | US
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Telephone | 215-345-5300
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Fax | 267-893-5100
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Authorized Official
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Title or Position | ASSOCIATE EXECUTIVE DIRECTOR
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Name | MARY DUBYK
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Credential |
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Telephone | 267-893-5284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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