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General NPI Number Information
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NPI Number | 1477760627
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Entity Type | Individual
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Provider Name | JILL BUEHLER KNERR MSW
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 227 W BROAD ST STE 201
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City | BETHLEHEM
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State | PA
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Zip | 18018-5570
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Country | US
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Telephone | 610-691-2455
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Fax | 610-691-2455
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Provider Business Mailing Address
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Address Line | 2225 15TH ST
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City | BETHLEHEM
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State | PA
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Zip | 18020-4480
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Country | US
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Telephone | 610-691-2455
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Fax | 610-691-2455
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW012652
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000906
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License Number State | PA
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