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General NPI Number Information
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NPI Number | 1063788008
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Entity Type | Organization
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Legal Business Name | ESPERO WELLNESS & COUNSELING CENTER, LTD.
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 500 N MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-3544
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Country | US
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Telephone | 419-427-5261
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Fax | 419-427-5262
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Provider Business Mailing Address
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Address Line | P O BOX 1317
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City | FINDLAY
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State | OH
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Zip | 45839-1317
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Country | US
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Telephone | 419-427-5261
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Fax | 419-427-5262
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Authorized Official
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Title or Position | LICENSED INDEPENDENT SOCIAL WORKER
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Name | MRS. LINDA MARIE BRANWELL
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Credential | LISW
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Telephone | 260-243-0655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1.1200272
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License Number State | OH
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