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General NPI Number Information
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NPI Number | 1255742193
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Entity Type | Individual
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Provider Name | JACQUELINE MARKWARD M.S., L.P.C., B.S.L.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 410 N. PRINCE STREET
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City | LANCASTER
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State | PA
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Zip | 17603
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Country | US
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Telephone | 484-809-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N. PRINCE STREET
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City | LANCASTER
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State | PA
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Zip | 17603
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH001875
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License Number State | PA
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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 | PC008893
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License Number State | PA
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