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General NPI Number Information
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NPI Number | 1578457206
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Entity Type | Individual
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Provider Name | THOMAS PATRICK CONROY LPC
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Gender | Male
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 16 LUZERNE AVE
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City | WEST PITTSTON
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State | PA
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Zip | 18643-2817
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Country | US
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Telephone | 570-961-3361
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Fax | 570-961-3364
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Provider Business Mailing Address
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Address Line | 138 W HARTFORD ST
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City | ASHLEY
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State | PA
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Zip | 18706-1635
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Country | US
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Telephone | 570-479-2616
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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 | PC018761
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License Number State | PA
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