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General NPI Number Information
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NPI Number | 1245030568
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PATH LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 628 TWIN PONDS RD
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City | BREINIGSVILLE
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State | PA
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Zip | 18031-1843
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Country | US
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Telephone | 484-263-0197
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Fax | 412-794-6159
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Provider Business Mailing Address
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Address Line | 1424 DAYSPRING DR
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City | ALLENTOWN
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State | PA
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Zip | 18106-9488
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Country | US
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Telephone | 484-895-8007
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Fax | 412-794-6159
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN M FRIEL
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Credential | LPC
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Telephone | 484-895-8007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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