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General NPI Number Information
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NPI Number | 1518289420
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Entity Type | Individual
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Provider Name | PAMELA LYNN NODEN M.S., LPC, CAC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 2320 ROTHSVILLE RD STE 103A
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City | LITITZ
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State | PA
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Zip | 17543
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Country | US
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Telephone | 717-627-5133
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Fax | 717-627-0052
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Provider Business Mailing Address
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Address Line | 2320 ROTHSVILLE RD STE 103A
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City | LITITZ
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State | PA
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Zip | 17543-8216
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Country | US
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Telephone | 717-627-5133
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Fax | 717-627-0052
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 100578
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License Number State | PA
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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 | PC 004901
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License Number State | PA
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