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General NPI Number Information
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NPI Number | 1215674353
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Entity Type | Organization
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Legal Business Name | CREATING CONNECTION PLLC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 2518 FRANKFORT AVE # 2
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City | LOUISVILLE
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State | KY
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Zip | 40206-2530
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Country | US
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Telephone | 502-235-8244
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Fax |
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Provider Business Mailing Address
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Address Line | 2518 FRANKFORT AVE # 2
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City | LOUISVILLE
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State | KY
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Zip | 40206-2530
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Country | US
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Telephone | 502-235-8244
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DARCIE TAGGART
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Credential | LPATS, LPCC-S, RPT
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Telephone | 502-235-8244
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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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