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General NPI Number Information
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NPI Number | 1043176563
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Entity Type | Organization
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Legal Business Name | ONCE UPON A TEMP
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 919 SHARON NEW CASTLE RD
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City | FARRELL
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State | PA
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Zip | 16121-2419
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Country | US
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Telephone | 724-308-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 919 SHARON NEW CASTLE RD
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City | FARRELL
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State | PA
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Zip | 16121-2419
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Country | US
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Telephone | 724-308-7476
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA TOVCIMAK
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Credential | PHDHP
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Telephone | 814-227-8172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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