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General NPI Number Information
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NPI Number | 1174023436
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Entity Type | Organization
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Legal Business Name | THRIVE MENTAL WELLNESS, LLC
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 1315 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5601
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Country | US
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Telephone | 215-960-8986
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31729
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City | PHILADELPHIA
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State | PA
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Zip | 19147-7729
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Country | US
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Telephone | 215-960-8986
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | HANNAH DOLINGER OZTURK
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Credential | LCSW
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Telephone | 215-960-8986
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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 | SW134374
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License Number State | PA
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