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General NPI Number Information
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NPI Number | 1073330270
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Entity Type | Organization
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Legal Business Name | SCURVY ELEPHANT THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 206 SENECA ST STE 31A
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City | OIL CITY
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State | PA
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Zip | 16301-1333
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Country | US
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Telephone | 814-346-1313
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Fax | 814-346-1800
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Provider Business Mailing Address
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Address Line | 15 BELLEVIEW AVE
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City | OIL CITY
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State | PA
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Zip | 16301-1201
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Country | US
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Telephone | 814-516-4794
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | NERISSA WEAVER
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Credential | LCSW
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Telephone | 814-516-4794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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