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General NPI Number Information
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NPI Number | 1275053118
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Entity Type | Organization
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Legal Business Name | DESMOND COUNSELING SERVICES
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 1150 GRANT ST APT 7
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City | INDIANA
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State | PA
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Zip | 15701-2834
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Country | US
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Telephone | 724-388-5354
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Fax |
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Provider Business Mailing Address
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Address Line | 2672 ROUTE 119 HWY N
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City | HOME
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State | PA
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Zip | 15747-8802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KIM DESMOND
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Credential |
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Telephone | 724-388-5354
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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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