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General NPI Number Information
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NPI Number | 1851530414
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Entity Type | Organization
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Legal Business Name | ABRAMSON CENTER FOR JEWISH LIFE
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 1425 HORSHAM RD
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City | NORTH WALES
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State | PA
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Zip | 19454-1320
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Country | US
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Telephone | 215-371-1369
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 HORSHAM RD
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City | NORTH WALES
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State | PA
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Zip | 19454-1320
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Country | US
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Telephone | 215-371-1369
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. DAVID PAYNE
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Credential | PSYD
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Telephone | 215-371-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | PA
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