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General NPI Number Information
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NPI Number | 1659205995
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Entity Type | Individual
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Provider Name | NICOL TOMASSACCI LPC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 21 ACADEMY ST
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City | WILKES BARRE
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State | PA
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Zip | 18702-3801
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Country | US
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Telephone | 570-301-0935
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Fax | 570-762-9009
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Provider Business Mailing Address
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Address Line | 3720 MAIN RD
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City | HUNLOCK CREEK
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State | PA
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Zip | 18621-3000
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Country | US
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Telephone | 570-931-1844
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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 | PC020482
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License Number State | PA
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