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General NPI Number Information
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NPI Number | 1598817181
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Entity Type | Individual
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Provider Name | NANCY PENDERGAST-HERBST LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2550 KINGSTON RD STE 319
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City | YORK
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State | PA
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Zip | 17402-3735
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Country | US
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Telephone | 717-757-1111
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Fax | 717-755-2322
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Provider Business Mailing Address
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Address Line | 2550 KINGSTON RD STE 319
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City | YORK
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State | PA
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Zip | 17402-3735
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Country | US
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Telephone | 717-757-1111
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Fax | 717-755-2322
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CWO015059
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License Number State | PA
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