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General NPI Number Information
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NPI Number | 1841320710
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Entity Type | Individual
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Provider Name | JUDITH L REPP LPC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3206 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2506
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Country | US
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Telephone | 717-751-6851
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Fax | 717-751-6852
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Provider Business Mailing Address
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Address Line | 13233 MONT RD
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City | FELTON
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State | PA
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Zip | 17322-8461
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Country | US
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Telephone | 717-227-0063
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | PC002521
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License Number State | PA
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