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General NPI Number Information
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NPI Number | 1841415825
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Entity Type | Individual
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Provider Name | MAUREEN LYONS TASHJIAN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 509 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5512
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Country | US
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Telephone | 215-860-1062
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Fax | 215-860-1062
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Provider Business Mailing Address
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Address Line | 432 MAPLE POINT DR
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City | LANGHORNE
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State | PA
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Zip | 19047-1407
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Country | US
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Telephone | 215-932-7330
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Fax | 215-750-7454
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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 | CW-014612
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License Number State | PA
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