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General NPI Number Information
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NPI Number | 1245176783
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Entity Type | Individual
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Provider Name | JILL MAZZA
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 3000 PARK PLACE DR STE 108
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City | WASHINGTON
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State | PA
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Zip | 15301-2068
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Country | US
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Telephone | 724-374-3468
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ADIOS DR
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City | WASHINGTON
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State | PA
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Zip | 15301-2324
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Country | US
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Telephone | 917-602-6042
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | PA
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