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General NPI Number Information
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NPI Number | 1114238896
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Entity Type | Organization
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Legal Business Name | INSIGHT THERAPIES LLC
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 1001 STATE ST SUITE 1400
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City | ERIE
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State | PA
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Zip | 16501-1814
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Country | US
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Telephone | 814-866-2428
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 STATE ST SUITE 1400
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City | ERIE
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State | PA
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Zip | 16501-1814
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Country | US
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Telephone | 814-866-2428
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARTHA AMANDA WATSON
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Credential | PHD
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Telephone | 814-866-2428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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