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General NPI Number Information
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NPI Number | 1306114681
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Entity Type | Individual
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Provider Name | JENNIFER HILLWIG LPC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 110 S ARCH ST
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City | CONNELLSVILLE
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State | PA
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Zip | 15425-3515
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Country | US
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Telephone | 724-626-9941
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Fax | 724-626-2785
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Provider Business Mailing Address
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Address Line | 315 HALDEMAN DR
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5629
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Country | US
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Telephone | 724-448-1480
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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 | PC005762
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License Number State | PA
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