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General NPI Number Information
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NPI Number | 1992920979
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Entity Type | Individual
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Provider Name | MARIA G D'ERRICO PH.D,J.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1703 LANGHORNE NEWTOWN RD SUITE 5
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City | LANGHORNE
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State | PA
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Zip | 19047-1082
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Country | US
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Telephone | 215-504-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 48 NATHAN CT
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City | NEWTOWN
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State | PA
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Zip | 18940-3430
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Country | US
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Telephone | 215-968-5178
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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 | PS007278-L
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License Number State | PA
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