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General NPI Number Information
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NPI Number | 1861519928
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Entity Type | Organization
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Legal Business Name | THE ACADEMY-APT CLINICAL CONSULTANTS, INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 701 W BROAD ST SUITE 201
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City | BETHLEHEM
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State | PA
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Zip | 18018-5248
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Country | US
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Telephone | 610-866-2744
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Fax | 610-282-3795
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Provider Business Mailing Address
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Address Line | 701 W BROAD ST SUITE 201
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City | BETHLEHEM
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State | PA
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Zip | 18018-5248
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Country | US
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Telephone | 610-866-2744
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Fax | 610-282-3795
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Authorized Official
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Title or Position | OWNER
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Name | MS. ADELE C BON-SHANNON
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Credential | MSW,LCSW
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Telephone | 610-866-2744
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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 | CW012852
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License Number State | PA
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