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General NPI Number Information
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NPI Number | 1699913517
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Entity Type | Organization
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Legal Business Name | ROGER FENN LPCC AND ASSOCIATES LLC
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 777 COLUMBUS AVE STE 1-G
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City | LEBANON
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State | OH
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Zip | 45036-1682
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Country | US
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Telephone | 513-932-2386
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Fax | 513-932-2386
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Provider Business Mailing Address
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Address Line | 777 COLUMBUS AVE STE 1-G
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City | LEBANON
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State | OH
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Zip | 45036-1682
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Country | US
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Telephone | 513-932-2386
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Fax | 513-932-2386
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Authorized Official
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Title or Position | OWNER
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Name | ROGER G FENN
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Credential | LPCC
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Telephone | 513-932-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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