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General NPI Number Information
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NPI Number | 1669457594
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Entity Type | Individual
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Provider Name | LAWRENCE G JANIEC JR. MA LPC
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 492 ROUTE 57 W
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City | WASHINGTON
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State | NJ
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Zip | 07882-4338
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Country | US
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Telephone | 908-689-1000
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Fax | 908-689-4529
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Provider Business Mailing Address
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Address Line | 736 E WASHINGTON AVE
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City | BETHLEHEM
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State | PA
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Zip | 18017-6040
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Country | US
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Telephone | 619-419-2513
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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 | 37PC00197700
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License Number State | NJ
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