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General NPI Number Information
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NPI Number | 1649628637
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Entity Type | Individual
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Provider Name | PENELOPE PITTS PHD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 117 MAIN ST UNIT 1-2
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City | MILLSBORO
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State | DE
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Zip | 19966-8410
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Country | US
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Telephone | 302-663-7790
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Fax | 302-487-0577
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Provider Business Mailing Address
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Address Line | PO BOX 441
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City | FRANKFORD
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State | DE
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Zip | 19945-0441
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Country | US
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Telephone | 302-663-7790
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Fax | 302-487-0577
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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 | PC-0000751
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0000751
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License Number State | DE
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