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General NPI Number Information
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NPI Number | 1629369707
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Entity Type | Individual
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Provider Name | LISA MARIE KLEIN LPC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 521 PLYMOUTH ST WESLEY SPECTRUM SERVICES
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City | GREENSBURG
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State | PA
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Zip | 15601-4363
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Country | US
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Telephone | 724-832-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CHARLES HOUCK RD
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City | LATROBE
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State | PA
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Zip | 15650-5915
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Country | US
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Telephone | 724-309-7246
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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 | PC0005855
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License Number State | PA
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