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General NPI Number Information
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NPI Number | 1235370636
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Entity Type | Organization
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Legal Business Name | WINDOW TO HEALING CENTER, INC.
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 14900 W VAN BUREN ST
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City | GOODYEAR
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State | AZ
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Zip | 85338-3002
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Country | US
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Telephone | 623-882-2509
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Fax |
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Provider Business Mailing Address
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Address Line | 14900 W VAN BUREN ST
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City | GOODYEAR
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State | AZ
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Zip | 85338-3002
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Country | US
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Telephone | 623-882-2509
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES WILLIAM COLEMAN
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Credential | MA.ED
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Telephone | 623-853-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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