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General NPI Number Information
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NPI Number | 1053678177
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Entity Type | Organization
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Legal Business Name | UNLIMITED POSSABILITIES, INC.
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 1707 US ROUTE 60 W
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City | MILTON
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State | WV
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Zip | 25541-1133
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Country | US
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Telephone | 304-743-8160
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Fax | 888-819-5534
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Provider Business Mailing Address
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Address Line | 1707 US ROUTE 60 W
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City | MILTON
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State | WV
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Zip | 25541-1133
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Country | US
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Telephone | 304-743-8160
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Fax | 888-819-5534
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH G MARIANI
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Credential |
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Telephone | 304-743-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 420
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License Number State | WV
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