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General NPI Number Information
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NPI Number | 1003685496
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Entity Type | Organization
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Legal Business Name | KAREN THRUSH LMFT, LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 513 W CHOCOLATE AVE STE 100
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City | HERSHEY
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State | PA
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Zip | 17033-1632
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Country | US
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Telephone | 717-473-0057
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Fax | 570-915-5355
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Provider Business Mailing Address
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Address Line | 812 LONDONDERRY BLVD
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City | PALMYRA
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State | PA
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Zip | 17078-3534
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Country | US
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Telephone | 717-658-9231
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Fax | 570-915-5355
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KAREN M THRUSH
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Credential | LMFT
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Telephone | 717-658-9231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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