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General NPI Number Information
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NPI Number | 1346801693
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Entity Type | Individual
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Provider Name | BRITTNEY TUNILO
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 616 MAIN ST STE 303
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City | HONESDALE
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State | PA
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Zip | 18431-1871
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Country | US
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Telephone | 570-504-2697
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 PETTIBONE ST
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City | SCRANTON
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State | PA
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Zip | 18504-1828
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Country | US
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Telephone | 570-647-8234
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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 | PC010876
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License Number State | PA
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