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General NPI Number Information
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NPI Number | 1043432131
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Entity Type | Individual
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Provider Name | JENNIFER HOPE ZETTLEMOYER NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 2030 N 3RD ST
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City | HARRISBURG
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State | PA
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Zip | 17102-1814
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Country | US
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Telephone | 717-232-3106
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Fax | 717-232-0170
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Provider Business Mailing Address
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Address Line | 404 HURON DR
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City | MECHANICSBURG
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State | PA
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Zip | 17050-2578
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Country | US
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Telephone | 717-761-2277
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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 | PC004426
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License Number State | PA
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