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General NPI Number Information
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NPI Number | 1457086092
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Entity Type | Individual
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Provider Name | JENNIFER HERSCH LPC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 16 S BROADWAY
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City | WIND GAP
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State | PA
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Zip | 18091-1431
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Country | US
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Telephone | 610-333-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 831 WASHINGTON AVE
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1842
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Country | US
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Telephone | 484-597-1864
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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 | PC014618
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License Number State | PA
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