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General NPI Number Information
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NPI Number | 1538490743
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Entity Type | Individual
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Provider Name | JENNIFER BETH LUFFMAN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 590 PRE EMPTION RD
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City | GENEVA
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State | NY
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Zip | 14456-1372
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Country | US
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Telephone | 315-273-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 14 PLEASANT ST
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City | SENECA FALLS
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State | NY
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Zip | 13148-1320
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Country | US
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Telephone | 315-730-2741
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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 | 005655
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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