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General NPI Number Information
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NPI Number | 1194315036
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Entity Type | Organization
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Legal Business Name | GARVIN THERAPEUTIC, PLLC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 1717 DIXIE HWY STE 415
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City | FT WRIGHT
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State | KY
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Zip | 41011-2766
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Country | US
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Telephone | 859-474-6440
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 DIXIE HWY STE 415
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City | FT WRIGHT
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State | KY
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Zip | 41011-2766
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Country | US
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Telephone | 859-474-6440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARRAH GARVIN
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Credential | LPCC
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Telephone | 513-802-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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