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General NPI Number Information
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NPI Number | 1053067595
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Entity Type | Organization
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Legal Business Name | GUIDING PATHS
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 6545 MARKET AVE N
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City | CANTON
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State | OH
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Zip | 44721-2430
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Country | US
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Telephone | 330-510-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 6545 MARKET AVE N
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City | CANTON
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State | OH
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Zip | 44721-2430
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Country | US
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Telephone | 330-510-4533
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Fax |
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Authorized Official
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Title or Position | CEO, NP
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Name | TRISTAN S REED
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Credential | MBA, MSN, PMHNP-BC
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Telephone | 330-510-4533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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