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General NPI Number Information
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NPI Number | 1003779711
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Entity Type | Individual
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Provider Name | JACK DONCHES
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Gender | Male
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2370 YORK RD STE C3
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City | JAMISON
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State | PA
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Zip | 18929-1031
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Country | US
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Telephone | 267-563-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 327 WINDSOR AVE
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City | WAYNE
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State | PA
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Zip | 19087-3308
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Country | US
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Telephone | 610-716-9375
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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 | APC001950
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License Number State | PA
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