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General NPI Number Information
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NPI Number | 1912381781
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Entity Type | Organization
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Legal Business Name | SABADISH PSYCHOTHERAPY INC
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Dates
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Enumeration Date | 07/12/2015
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Last Update Date | 07/12/2015
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Provider Practice Location Address
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Address Line | 294 PROSPECT AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2831
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Country | US
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Telephone | 215-760-6867
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Fax | 610-269-5057
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Provider Business Mailing Address
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Address Line | 294 PROSPECT AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2831
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Country | US
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Telephone | 215-760-6867
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Fax | 610-269-5057
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RONALD SABADISH
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Credential | LCSW
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Telephone | 215-760-6867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW012981
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License Number State | PA
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