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General NPI Number Information
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NPI Number | 1972937175
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Entity Type | Individual
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Provider Name | EMILY JEANNE SONENSHEIN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/25/2013
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 100 SOUTH BROAD ST. SUITE 1114
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1024
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Country | US
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Telephone | 215-913-1195
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Fax |
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Provider Business Mailing Address
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Address Line | 221 HARROGATE RD
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3129
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Country | US
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Telephone | 215-913-1195
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS017427
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License Number State | PA
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