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General NPI Number Information
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NPI Number | 1326104217
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Entity Type | Individual
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Provider Name | JAMES R MEADOWS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 1372 N SUSQUEHANNA TRL SUITE 330
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City | SELINSGROVE
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State | PA
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Zip | 17870-8971
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Country | US
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Telephone | 570-394-6656
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Fax |
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Provider Business Mailing Address
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Address Line | 1372 N SUSQUEHANNA TRL SUITE 330
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City | SELINSGROVE
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State | PA
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Zip | 17870-8971
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Country | US
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Telephone | 570-394-6656
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2600
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License Number State | NE
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