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General NPI Number Information
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NPI Number | 1235927815
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Entity Type | Organization
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Legal Business Name | FAMILY TIES HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 295 MORGANTOWN ST
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City | UNIONTOWN
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State | PA
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Zip | 15401-4723
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Country | US
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Telephone | 724-550-4315
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Fax |
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Provider Business Mailing Address
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Address Line | 295 MORGANTOWN ST
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City | UNIONTOWN
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State | PA
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Zip | 15401-4723
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Country | US
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Telephone | 724-550-4315
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Fax |
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Authorized Official
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Title or Position | PART OWNER/ DOCTOR
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Name | DR. BROOKE SOVA
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Credential | DC
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Telephone | 304-629-9814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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