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General NPI Number Information
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NPI Number | 1053942557
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Entity Type | Organization
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Legal Business Name | MINDFUL RESOLUTIONS
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 7051 STEUBENVILLE PIKE STE 3
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City | OAKDALE
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State | PA
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Zip | 15071-3318
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Country | US
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Telephone | 412-377-6517
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Fax |
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Provider Business Mailing Address
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Address Line | 7051 STEUBENVILLE PIKE STE 3
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City | OAKDALE
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State | PA
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Zip | 15071-3318
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Country | US
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Telephone | 412-377-6517
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | TAMMIE MARIE BARKUS
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Credential | LCSW
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Telephone | 412-377-6517
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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 |
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License Number State |
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