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General NPI Number Information
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NPI Number | 1952180176
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Entity Type | Individual
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Provider Name | CAYETANA DUNAL CALDERON-SMITH LPC ELIGIBLE
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1001 STATE ST STE 1400
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City | ERIE
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State | PA
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Zip | 16501-1834
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Country | US
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Telephone | 484-222-0480
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Fax |
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Provider Business Mailing Address
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Address Line | 1 UNION AVENUE # 303
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 818-835-6121
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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 |
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License Number State | PA
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