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General NPI Number Information
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NPI Number | 1851073050
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Entity Type | Organization
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Legal Business Name | AEK CONSULTING LLC
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1024 E LANCASTER AVE FL 1
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City | BRYN MAWR
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State | PA
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Zip | 19010-1409
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Country | US
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Telephone | 267-203-4175
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 E LANCASTER AVE FL 1
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City | BRYN MAWR
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State | PA
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Zip | 19010-1409
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | AMY MACK
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Credential | LCSW
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Telephone | 267-203-4175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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