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General NPI Number Information
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NPI Number | 1912277054
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Entity Type | Individual
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Provider Name | MARLA J HARP HENKEL MA, LSATP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 210 FRONT ROYAL PIKE
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City | WINCHESTER
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State | VA
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Zip | 22602-7313
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Country | US
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Telephone | 540-545-8795
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Fax |
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Provider Business Mailing Address
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Address Line | 150 ONIX DR
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1886
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Country | US
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Telephone | 484-731-2496
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Fax | 484-731-1234
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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 | 0718000286
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License Number State |
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