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General NPI Number Information
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NPI Number | 1205795853
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Entity Type | Organization
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Legal Business Name | PRO PRACTICE PARTNERS
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2110 OLD CUBA ROAD
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City | EUBANK
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State | KY
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Zip | 42567
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Country | US
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Telephone | 877-733-2733
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Fax | 877-313-1501
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Provider Business Mailing Address
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Address Line | 216 SKYWATCH DR STE 225
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City | DANVILLE
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State | KY
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Zip | 40422-2540
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Country | US
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Telephone | 877-733-2733
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Fax | 877-313-1501
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Authorized Official
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Title or Position | COO
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Name | TINTISHA CLANTON
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Credential |
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Telephone | 877-733-2733
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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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