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General NPI Number Information
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NPI Number | 1992094411
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Entity Type | Individual
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Provider Name | SUE F DAKIN PH.D
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 255 S 17TH ST 29TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-545-4396
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LOCUST ST 10B
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City | PHILADELPHIA
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State | PA
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Zip | 19106-3914
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Country | US
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Telephone | 215-627-0453
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC000602
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License Number State | PA
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