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General NPI Number Information
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NPI Number | 1033907563
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Entity Type | Individual
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Provider Name | DEANNA MECKLING-PERUTO MS, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 1220 VALLEY FORGE ROAD SUITE 38
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City | VALLEY FORGE
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State | PA
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Zip | 19482
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Country | US
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Telephone | 215-534-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 3308 PATRIOTS LN APT 3308
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City | NORRISTOWN
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State | PA
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Zip | 19403-5269
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Country | US
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Telephone | 215-534-3330
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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 | PRELICENSED
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License Number State |
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