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General NPI Number Information
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NPI Number | 1891911137
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Entity Type | Individual
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Provider Name | ANDREA M. DELLIGATTI PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 27 HILLBROOK CIR
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City | MALVERN
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State | PA
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Zip | 19355-1111
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Country | US
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Telephone | 610-647-1013
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Fax | 610-640-9941
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Provider Business Mailing Address
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Address Line | 27 HILLBROOK CIR
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City | MALVERN
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State | PA
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Zip | 19355-1111
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Country | US
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Telephone | 610-647-1013
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Fax | 610-640-9941
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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 | PS004573L
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License Number State | PA
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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 | 35SI00196000
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License Number State | NJ
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