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General NPI Number Information
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NPI Number | 1508353939
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Entity Type | Individual
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Provider Name | JANESSA LYNN HERMAN M.S., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 2233 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-1363
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Country | US
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Telephone | 842-732-3614
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Fax |
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Provider Business Mailing Address
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Address Line | 2365 HAHNS DAIRY RD
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City | PALMERTON
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State | PA
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Zip | 18071-5322
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Country | US
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Telephone | 484-464-1964
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 685159
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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 | PC010162
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License Number State | PA
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