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General NPI Number Information
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NPI Number | 1942479605
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Entity Type | Organization
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Legal Business Name | THE BEHAVIOR THERAPY CENTER
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 19 CHAPEL HILL RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-7913
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Country | US
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Telephone | 215-947-7867
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Fax | 215-947-7860
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Provider Business Mailing Address
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Address Line | 19 CHAPEL HILL RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-7913
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Country | US
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Telephone | 215-947-7867
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Fax | 215-947-7860
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Authorized Official
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Title or Position | PRESIDENT/CLINICAL PSYCHOLOGIST
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Name | DR. BRUCE NORBERT EIMER
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Credential | PH.D.
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Telephone | 215-947-7867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS004665L
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License Number State | PA
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