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General NPI Number Information
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NPI Number | 1326473745
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Entity Type | Organization
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Legal Business Name | MINDFUL HEALING, LLC
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 3279 SCRANTON RD SECOND FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44109-1659
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Country | US
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Telephone | 216-673-6973
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Fax | 216-772-3279
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Provider Business Mailing Address
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Address Line | 3279 SCRANTON RD SECOND FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44109-1659
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Country | US
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Telephone | 216-673-6973
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Fax | 216-772-3279
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. JOSEPH DOMINIC IAROCCI
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Credential | PCC
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Telephone | 216-673-6973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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