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General NPI Number Information
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NPI Number | 1053645689
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Entity Type | Individual
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Provider Name | TRICIA LEE PELC LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 2500 PALERMO DR STE 3
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City | ERIE
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State | PA
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Zip | 16506-7206
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Country | US
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Telephone | 814-449-9469
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Fax | 814-381-2215
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Provider Business Mailing Address
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Address Line | 2500 PALERMO DR STE 3
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City | ERIE
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State | PA
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Zip | 16506-7206
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Country | US
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Telephone | 814-449-9469
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Fax | 814-381-2215
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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 | 0701004650
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004846
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License Number State | PA
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