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General NPI Number Information
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NPI Number | 1801786934
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Entity Type | Individual
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Provider Name | JENNA ATKINSON LAPC, R-DMT
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2047 PA-309
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 484-276-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 480 WEDGEWOOD DR
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City | EASTON
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State | PA
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Zip | 18045-5753
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Country | US
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Telephone | 908-442-4577
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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 | 225600000X
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Taxonomy Name | Dance Therapist
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC001538
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License Number State | PA
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