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General NPI Number Information
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NPI Number | 1033133442
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Entity Type | Individual
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Provider Name | ELLEN DIONNA MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 907 ROOSEVELT AVE
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City | YORK
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State | PA
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Zip | 17404-2831
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Country | US
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Telephone | 717-781-3269
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Fax | 717-846-3907
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Provider Business Mailing Address
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Address Line | 1700 PALOMINO RD
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City | DOVER
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State | PA
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Zip | 17315-3642
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Country | US
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Telephone | 717-781-3269
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Fax | 717-846-3907
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015318
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License Number State | PA
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