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General NPI Number Information
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NPI Number | 1902164312
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Entity Type | Individual
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Provider Name | BILLIE S SCHWARTZ M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 1700 S BROAD ST SUITE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2315
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Country | US
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Telephone | 215-590-7555
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Fax | 215-590-7387
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Provider Business Mailing Address
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Address Line | 1700 S BROAD ST SUITE 301
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2315
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Country | US
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Telephone | 215-590-7555
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Fax | 215-590-7387
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS018032
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License Number State | PA
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