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General NPI Number Information
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NPI Number | 1427485176
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Entity Type | Organization
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Legal Business Name | ANCHOR COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 100 STATE ST SUITE 312
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City | ERIE
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State | PA
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Zip | 16507-1452
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Country | US
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Telephone | 814-470-3745
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Fax |
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Provider Business Mailing Address
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Address Line | 100 STATE ST SUITE 312
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City | ERIE
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State | PA
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Zip | 16507-1452
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Country | US
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Telephone | 814-470-3745
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BOLTON JENNA
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Credential |
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Telephone | 814-470-3745
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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 | PC006727
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License Number State | PA
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