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General NPI Number Information
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NPI Number | 1942025432
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Entity Type | Individual
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Provider Name | MACY ALYSSA STANLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 420 E PARK ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2267
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Country | US
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Telephone | 717-282-2908
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Fax |
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Provider Business Mailing Address
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Address Line | 650 PATRIOT DR
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City | LANCASTER
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State | PA
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Zip | 17601-6733
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Country | US
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Telephone | 518-948-2740
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC017896
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License Number State | PA
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