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General NPI Number Information
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NPI Number | 1225270523
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Entity Type | Individual
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Provider Name | NORMA JEAN HERSHEY LMFT LCPC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 695 2ND AVE S, NORTH ENTRANCE
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City | PAYETTE
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State | ID
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Zip | 83661-0694
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Country | US
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Telephone | 208-739-6818
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Fax | 208-642-2796
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Provider Business Mailing Address
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Address Line | BOX 694
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City | PAYETTE
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State | ID
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Zip | 83661-0694
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Country | US
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Telephone | 208-739-6818
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Fax | 208-642-2796
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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 | LCPC 830
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License Number State | ID
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