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General NPI Number Information
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NPI Number | 1891907317
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Entity Type | Individual
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Provider Name | GENEVIEVE CHANEY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 1616 WALNUT STREET SUITE 812
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 267-608-7301
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Fax | 267-608-7301
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | SWARTHMORE
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State | PA
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Zip | 19081-0233
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Country | US
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Telephone | 267-608-7301
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Fax | 215-825-5368
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 35SI00422800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS015300
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License Number State | PA
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