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General NPI Number Information
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NPI Number | 1033223136
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Entity Type | Individual
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Provider Name | JEANINE MARIE QUINN MA NCC LPC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 103 S HIGH ST #5
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City | WEST CHESTER
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State | PA
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Zip | 19382-3262
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Country | US
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Telephone | 610-719-0530
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Fax | 610-429-5821
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Provider Business Mailing Address
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Address Line | 208 JUNCTION LN
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City | COATESVILLE
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State | PA
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Zip | 19320-4684
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Country | US
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Telephone | 610-505-2641
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004217
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License Number State | PA
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