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General NPI Number Information
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NPI Number | 1235056250
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Entity Type | Organization
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Legal Business Name | A LOVING HEART YOUTH SERVICES
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1415 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45406-4941
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Country | US
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Telephone | 937-609-6830
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45406-4941
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Country | US
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Telephone | 937-609-6830
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Fax |
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Authorized Official
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Title or Position | COO
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Name | WILLIAM PETERSON II
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Credential | QMHS, CDCA
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Telephone | 937-609-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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