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General NPI Number Information
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NPI Number | 1659652287
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Entity Type | Individual
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Provider Name | VANESSA JAHNKE ED.M, B.ED.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 60 E 42ND ST 2401
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City | NEW YORK
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State | NY
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Zip | 10165-0006
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Country | US
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Telephone | 212-557-8660
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E 42ND ST 240
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City | NEW YORK
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State | NY
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Zip | 10165-0006
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Country | US
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Telephone | 212-838-4333
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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 | P84597
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License Number State | NY
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