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NPI 1780891036

NPI 1780891036 : FRAN VANALLEN M.A., N.C.C., L.P.C. : GLEN RIDDLE, PA

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General NPI Number Information
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    NPI Number           |    1780891036
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    Entity Type          |    Individual 
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    Provider Name        |    FRAN VANALLEN M.A., N.C.C., L.P.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    16 LAUREL LN 
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    City                 |    GLEN RIDDLE
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    State                |    PA
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    Zip                  |    19063-5725
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    Country              |    US
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    Telephone            |    610-358-3212
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 LAUREL LN 
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    City                 |    GLEN RIDDLE
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    State                |    PA
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    Zip                  |    19063-5725
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    Country              |    US
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    Telephone            |    610-358-3212
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    PC000399
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    License Number State |    PA
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