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General NPI Number Information
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NPI Number | 1104712520
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Entity Type | Organization
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Legal Business Name | NEW PATH CLINICAL SERVICES LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 180 S MAIN ST STE 4
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City | LAKEVIEW
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State | OH
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Zip | 43331-9550
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Country | US
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Telephone | 567-204-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 323 E WAPAKONETA ST
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City | WAYNESFIELD
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State | OH
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Zip | 45896-9447
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Country | US
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Telephone | 567-204-5647
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULLI GRIESHEIMER
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Credential | LISW-S, LICDC
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Telephone | 567-204-5647
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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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