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General NPI Number Information
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NPI Number | 1295227767
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Entity Type | Individual
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Provider Name | BARBARA JERICHEN LPC
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Gender | Female
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 2262 BLUE STONE HILLS DR STE C
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City | HARRISONBURG
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State | VA
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Zip | 22801-5434
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Country | US
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Telephone | 540-251-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 8801 FOREST VIEW TRL
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City | BROADWAY
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State | VA
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Zip | 22815-3045
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Country | US
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Telephone | 540-246-1874
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701006665
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License Number State | VA
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