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General NPI Number Information
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NPI Number | 1871584508
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Entity Type | Organization
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Legal Business Name | AMERICAN BEHAVIORAL COUNSELING
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4949 LIBERTY LN SUITE 45
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City | ALLENTOWN
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State | PA
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Zip | 18106-9014
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Country | US
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Telephone | 610-530-8770
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Fax | 610-530-3197
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Provider Business Mailing Address
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Address Line | PO BOX 3329
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City | ALLENTOWN
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State | PA
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Zip | 18106-0329
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Country | US
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Telephone | 610-530-8770
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Fax | 610-530-3197
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SYED H VIQAR
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Credential | MD
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Telephone | 610-530-8770
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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 | MD042925E
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License Number State | PA
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