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General NPI Number Information
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NPI Number | 1144198532
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Entity Type | Organization
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Legal Business Name | HEROIC PATH, LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 375 HIGHLAND DR
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City | MOUNTVILLE
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State | PA
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Zip | 17554-1231
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Country | US
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Telephone | 717-716-8041
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Fax | 717-391-0709
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Provider Business Mailing Address
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Address Line | 1831 LITITZ PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-6501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | HUGH SMITH
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Credential | PH.D.
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Telephone | 717-468-1971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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