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General NPI Number Information
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NPI Number | 1831698414
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Entity Type | Individual
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Provider Name | CHARLOTTE ANDREWS LBS, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6703 GERMANTOWN AVE # 210-6
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2109
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Country | US
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Telephone | 267-586-1172
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Fax |
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Provider Business Mailing Address
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Address Line | 5025 N 15TH ST APT 209
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City | PHILADELPHIA
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State | PA
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Zip | 19141-2202
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Country | US
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Telephone | 267-586-1172
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH003593
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC010119
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License Number State | PA
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