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General NPI Number Information
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NPI Number | 1134662273
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Entity Type | Individual
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Provider Name | KAYLA JOY DONFRANCESCO LPC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 63 W LANCASTER AVE SUITE 2
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City | ARDMORE
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State | PA
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Zip | 19003-1413
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Country | US
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Telephone | 610-314-7996
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Fax | 570-371-0344
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Provider Business Mailing Address
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Address Line | 353 NEW DEHAVEN ST
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2635
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Country | US
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Telephone | 401-829-8266
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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 | PC009257
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License Number State | PA
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