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General NPI Number Information
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NPI Number | 1194458349
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Entity Type | Organization
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Legal Business Name | ADJUST YOUR CROWN HEALING CENTER LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 651 E TOWNSHIP LINE RD UNIT 541
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City | BLUE BELL
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State | PA
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Zip | 19422-5026
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Country | US
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Telephone | 267-935-9290
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Fax |
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Provider Business Mailing Address
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Address Line | 651 E TOWNSHIP LINE RD UNIT 541
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City | BLUE BELL
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State | PA
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Zip | 19422-5026
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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 | OWNER/FOUNDER
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Name | JAZRAEL M TURNER
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Credential | LMFT
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Telephone | 267-935-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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