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General NPI Number Information
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NPI Number | 1396812665
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Entity Type | Individual
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Provider Name | ELIZABETH A KINARD M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 31 STATE RT 23 N
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City | HAMBURG
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State | NJ
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Zip | 07419-1419
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Country | US
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Telephone | 973-209-9085
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Fax | 815-233-6167
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Provider Business Mailing Address
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Address Line | 2679 W FOREST RD
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City | FREEPORT
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State | IL
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Zip | 61032-9472
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Country | US
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Telephone | 815-233-6162
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Fax | 815-233-6167
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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 | 37PC00223700
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License Number State | NJ
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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 | PC001943
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License Number State | PA
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