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General NPI Number Information
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NPI Number | 1841552122
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Entity Type | Organization
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Legal Business Name | LYDIA SIT MD, PLLC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 110 BALA AVE 3RD FLOOR SUITE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3032
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Country | US
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Telephone | 856-553-7748
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Fax | 610-664-1726
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Provider Business Mailing Address
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Address Line | 110 BALA AVE 3RD FLOOR SUITE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-3032
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Country | US
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Telephone | 856-553-7748
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Fax | 610-664-1726
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. LYDIA KAY SIT
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Credential | M.D.
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Telephone | 215-260-8557
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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 | MD434247
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD434247
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License Number State | PA
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