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General NPI Number Information
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NPI Number | 1083265508
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Entity Type | Individual
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Provider Name | AURELIA JORDEN LPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 2502 POWELL AVE STE 6
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City | ERIE
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State | PA
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Zip | 16506-1892
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Country | US
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Telephone | 814-580-6818
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Fax | 866-297-6198
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Provider Business Mailing Address
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Address Line | 2502 POWELL AVE STE 6
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City | ERIE
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State | PA
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Zip | 16506-1892
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Country | US
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Telephone | 814-580-6818
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Fax | 866-297-6198
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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 | PCO11303
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License Number State | PA
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