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General NPI Number Information
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NPI Number | 1669108957
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Entity Type | Individual
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Provider Name | ROSE FEAR LPC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 1400 BLACKHORSE HILL RD
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City | COATESVILLE
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State | PA
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Zip | 19320-2096
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Country | US
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Telephone | 610-384-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 24 STEVEN WAY
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City | WEST BRANDYWINE
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State | PA
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Zip | 19320-1242
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Country | US
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Telephone | 484-274-3489
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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 | PC005404
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC005404
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License Number State | PA
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