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General NPI Number Information
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NPI Number | 1285660167
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Entity Type | Individual
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Provider Name | JEAN FALZON MA,CAC,LPC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | RR 2 BOX 2340
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City | CANADENSIS
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State | PA
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Zip | 18325
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Country | US
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Telephone | 570-595-6055
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Fax | 570-595-6055
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Provider Business Mailing Address
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Address Line | RR 2 BOX 2340
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City | CANADENSIS
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State | PA
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Zip | 18325-9710
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Country | US
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Telephone | 570-595-6055
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Fax | 570-595-6013
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC 002248
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License Number State | PA
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