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General NPI Number Information
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NPI Number | 1285109132
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Entity Type | Organization
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Legal Business Name | REBEKAH WATKINS LLC
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 4884 HIGBEE AVE NW
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City | CANTON
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State | OH
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Zip | 44718-2578
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Country | US
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Telephone | 330-754-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 105 GALE DR
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City | BARBERTON
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State | OH
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Zip | 44203-7332
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Country | US
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Telephone | 330-754-9496
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Fax | 330-451-5747
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | REBEKAH WATKINS
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Credential | LPCC-S
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Telephone | 330-754-9496
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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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