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General NPI Number Information
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NPI Number | 1487626024
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Entity Type | Individual
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Provider Name | REBECCA LOU POMEROY L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1371 W 6TH ST
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City | ERIE
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State | PA
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Zip | 16505-2503
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Country | US
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Telephone | 814-456-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 TOWNHALL RD W
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City | ERIE
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State | PA
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Zip | 16509-5052
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Country | US
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Telephone | 814-864-2042
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000290
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License Number State | PA
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