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General NPI Number Information
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NPI Number | 1265120497
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Entity Type | Organization
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Legal Business Name | SPROTT HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 3450 W CENTRAL AVE STE 350
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City | TOLEDO
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State | OH
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Zip | 43606-1418
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Country | US
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Telephone | 419-407-5498
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Fax | 419-407-5097
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Provider Business Mailing Address
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Address Line | 3450 W CENTRAL AVE STE 350
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City | TOLEDO
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State | OH
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Zip | 43606-1418
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Country | US
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Telephone | 419-407-5498
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Fax | 419-407-5097
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SELENA SPROTT
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Credential | MA/LPCC
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Telephone | 419-407-5498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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