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General NPI Number Information
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NPI Number | 1740624758
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Entity Type | Individual
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Provider Name | MYRRIAH JANNETTE PHD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2013
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 5 CHANTILLY CT
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City | MECHANICSBURG
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State | PA
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Zip | 17050-8220
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Country | US
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Telephone | 717-236-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 5536 ENCHANTED AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780-3242
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Country | US
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Telephone | 717-236-2121
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02222
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License Number State | MD
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