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General NPI Number Information
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NPI Number | 1467674291
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Entity Type | Individual
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Provider Name | JENNIFER D'LYN YINGLING MS, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 12/15/2013
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Provider Practice Location Address
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Address Line | 1661 HARDSCRABBLE RD
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City | MUNSON
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State | PA
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Zip | 16860-9404
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Country | US
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Telephone | 814-592-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 3179 SHAWVILLE HWY
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City | WOODLAND
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State | PA
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Zip | 16881-8701
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Country | US
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Telephone | 814-857-4950
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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 |
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License Number State |
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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 | PC005568
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License Number State | PA
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