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General NPI Number Information
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NPI Number | 1912307729
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH MORESCHI MM, MA, MT-BC, LPC
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Gender | Male
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 1315 WALNUT ST SUITE 1323
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4719
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Country | US
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Telephone | 215-839-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 N RANDOLPH ST # 2
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City | PHILADELPHIA
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State | PA
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Zip | 19122-4318
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Country | US
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Telephone | 215-951-8075
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007398
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License Number State | PA
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