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General NPI Number Information
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NPI Number | 1235256371
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Entity Type | Individual
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Provider Name | MARISSA MICHELE SCHWARTZ M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2819-0 WILLOW STREET PIKE
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City | WILLOW STREET
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State | PA
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Zip | 17584
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Country | US
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Telephone | 717-464-1464
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Fax | 717-464-4348
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Provider Business Mailing Address
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Address Line | 835 3RD ST
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City | LANCASTER
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State | PA
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Zip | 17603-5020
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Country | US
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Telephone | 717-239-5124
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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 |
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License Number State |
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