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General NPI Number Information
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NPI Number | 1831363803
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Entity Type | Individual
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Provider Name | JILL S FINE MSED, LPC,CAC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2000 COMMERCE LOOP SUITE 2200
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642
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Country | US
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Telephone | 724-382-4628
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Fax | 724-515-7340
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Provider Business Mailing Address
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Address Line | 2000 COMMERCE LOOP SUITE 2200
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642
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Country | US
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Telephone | 724-382-4628
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Fax | 724-515-7340
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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 | 004822
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License Number State | PA
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