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General NPI Number Information
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NPI Number | 1285969972
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Entity Type | Organization
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Legal Business Name | R CONDON CONSULTING
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 115 MAR VEL DR
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City | BUTLER
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State | PA
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Zip | 16001-1411
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Country | US
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Telephone | 724-504-1229
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Fax |
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Provider Business Mailing Address
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Address Line | 115 MAR VEL DR
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City | BUTLER
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State | PA
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Zip | 16001-1411
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Country | US
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Telephone | 724-504-1229
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. RHIANN W CONDON
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Credential | M.A., M.S.W., A.B.D.
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Telephone | 724-504-1229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 111556 (ICRC)
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 041021
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 249569 (NCC)
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C0601027
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401008337
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6802080371
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW127031
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License Number State | PA
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