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General NPI Number Information
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NPI Number | 1225497340
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Entity Type | Individual
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Provider Name | ELLEN ZAZULAK M.S, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 232 BULLRUSH LDG
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9338
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Country | US
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Telephone | 610-597-1787
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 BOARD RD
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City | YORK
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State | PA
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Zip | 17406-8409
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Country | US
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Telephone | 610-597-1787
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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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 | PC015865
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License Number State | PA
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