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General NPI Number Information
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NPI Number | 1992102370
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Entity Type | Organization
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Legal Business Name | ABINGTON BEHAVIORAL HEALTH CONSULTANTS, LLC
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 321 YORK RD SUITE 214
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City | JENKINTOWN
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State | PA
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Zip | 19046-3261
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Country | US
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Telephone | 215-919-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 321 YORK RD SUITE 214
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City | JENKINTOWN
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State | PA
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Zip | 19046-3261
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Country | US
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Telephone | 215-919-9021
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. AARON MILLARD SUTTON
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Credential | LCSW
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Telephone | 919-921-2459
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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 | CW018247
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License Number State | PA
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