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General NPI Number Information
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NPI Number | 1972894871
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Entity Type | Individual
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Provider Name | REBECCA JEAN DUNLOP SW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 30 N 4TH ST 2ND FLOOR
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City | LEBANON
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State | PA
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Zip | 17046-5606
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Country | US
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Telephone | 717-274-0474
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Fax | 717-274-0673
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | LEBANON
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State | PA
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Zip | 17042-0300
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Country | US
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Telephone | 717-270-7780
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Fax | 717-274-9746
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW10295L
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License Number State | PA
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