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General NPI Number Information
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NPI Number | 1316578776
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Entity Type | Organization
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Legal Business Name | ALTRUISM COUNSELING SERVICES
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 271 W SHORT ST STE 508
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City | LEXINGTON
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State | KY
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Zip | 40507-1214
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Country | US
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Telephone | 859-492-0152
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Fax |
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Provider Business Mailing Address
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Address Line | 271 W SHORT ST STE 508
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City | LEXINGTON
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State | KY
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Zip | 40507-1214
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Country | US
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Telephone | 859-492-0152
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEDE STRATTON
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Credential | LCSW, LCADC
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Telephone | 859-492-0152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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