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General NPI Number Information
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NPI Number | 1104359009
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Entity Type | Organization
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Legal Business Name | LINKS FOR SUCCESS
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 8525 SARASOTA CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2531
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Country | US
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Telephone | 317-603-6658
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 SARASOTA CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2531
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Country | US
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Telephone | 317-603-6658
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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 | ANGELA RENAE WEAVER
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Credential | LMHC
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Telephone | 317-603-6658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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