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General NPI Number Information
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NPI Number | 1942373394
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Entity Type | Individual
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Provider Name | GILLIAN SLOCUM ROSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 543 WALNUT ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-5625
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Country | US
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Telephone | 484-433-1963
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Fax | 610-718-5395
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Provider Business Mailing Address
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Address Line | 527 N CHARLOTTE ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-4602
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Country | US
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Telephone | 484-433-1963
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Fax | 610-718-5395
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW013848
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License Number State | PA
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