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General NPI Number Information
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NPI Number | 1104604024
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Entity Type | Organization
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Legal Business Name | NOTE TO SELF THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 3910 CAUGHEY RD STE 200
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City | ERIE
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State | PA
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Zip | 16506-4098
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Country | US
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Telephone | 814-259-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 2844 E 31ST ST
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City | ERIE
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State | PA
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Zip | 16510-2804
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Country | US
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Telephone | 814-464-7630
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASEY KATHLEEN HUBBELL
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Credential | LCSW
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Telephone | 814-464-7630
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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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