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General NPI Number Information
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NPI Number | 1881377349
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Entity Type | Individual
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Provider Name | REBECCA ELIZABETH STOUDT MS, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 4309 LINGLESTOWN RD STE 214
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City | HARRISBURG
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State | PA
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Zip | 17112-8607
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Country | US
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Telephone | 717-412-4908
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Fax | 717-695-0853
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Provider Business Mailing Address
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Address Line | 4309 LINGLESTOWN RD STE 214
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City | HARRISBURG
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State | PA
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Zip | 17112-8607
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Country | US
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Telephone | 717-412-4908
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Fax | 717-695-0853
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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 | PC016033
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License Number State | PA
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