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General NPI Number Information
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NPI Number | 1548533615
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Entity Type | Individual
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Provider Name | JAMIE L HOGAN MA, LPC, NCC, C-DBT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 60A WERNER ST
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City | WERNERSVILLE
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State | PA
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Zip | 19565-1623
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Country | US
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Telephone | 610-750-9447
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Fax | 610-750-9383
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | WERNERSVILLE
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State | PA
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Zip | 19565-0119
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Country | US
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Telephone | 610-750-9447
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Fax | 610-750-9383
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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 | PC006203
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License Number State | PA
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