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General NPI Number Information
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NPI Number | 1053868604
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Entity Type | Individual
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Provider Name | DELPHINE MARTIN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 10/18/2020
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Provider Practice Location Address
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Address Line | 917 COLUMBIA AVE STE 245
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City | LANCASTER
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State | PA
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Zip | 17603-3159
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Country | US
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Telephone | 717-690-0362
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Fax | 717-406-1938
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Provider Business Mailing Address
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Address Line | 1653 LITITZ PIKE # 1047
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City | LANCASTER
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State | PA
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Zip | 17601-6507
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Country | US
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Telephone | 717-690-0362
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Fax | 717-406-1938
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC010222
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License Number State | PA
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