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General NPI Number Information
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NPI Number | 1376979005
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Entity Type | Individual
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Provider Name | JANET CONNER LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 12/06/2020
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Provider Practice Location Address
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Address Line | 116 S PINEY RD STE 204C
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City | CHESTER
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State | MD
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Zip | 21619-2961
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Country | US
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Telephone | 443-249-8673
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Fax | 443-746-2210
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Provider Business Mailing Address
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Address Line | PO BOX 833
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City | STEVENSVILLE
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State | MD
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Zip | 21666-0833
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Country | US
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Telephone | 443-249-8673
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Fax | 443-746-2210
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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 | 0701005581
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC6099
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License Number State | MD
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