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General NPI Number Information
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NPI Number | 1346998697
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Entity Type | Organization
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Legal Business Name | KRISTINE DENCE LLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 4550 LIBERTY AVE STE 200
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City | VERMILION
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State | OH
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Zip | 44089-1910
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Country | US
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Telephone | 440-822-0596
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 BOGART RD
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City | HURON
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State | OH
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Zip | 44839-9529
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Country | US
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Telephone | 144-093-5838
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICIAN
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Name | KRISTINE DENCE
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Credential | LPCC
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Telephone | 440-935-8388
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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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