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General NPI Number Information
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NPI Number | 1649368358
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Entity Type | Individual
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Provider Name | JOAN M. VANORE LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 8935 N MERIDIAN ST STE 107
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5348
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Country | US
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Telephone | 317-571-0170
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Fax | 317-571-2005
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Provider Business Mailing Address
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Address Line | 8020 CLAYBURN CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1864
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Country | US
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Telephone | 317-872-2381
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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 | 39001723A
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License Number State | IN
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