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General NPI Number Information
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NPI Number | 1730680083
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Entity Type | Individual
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Provider Name | LORI JEAN EARHART MA
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Gender | Female
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 766 E PITTSBURGH ST STE 101
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City | GREENSBURG
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State | PA
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Zip | 15601-2678
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Country | US
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Telephone | 412-246-8965
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Fax | 724-219-3697
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Provider Business Mailing Address
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Address Line | PO BOX 73
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City | MAMMOTH
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State | PA
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Zip | 15664-0073
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Country | US
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Telephone | 724-417-2665
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Fax | 724-219-3697
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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