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General NPI Number Information
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NPI Number | 1366907412
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Entity Type | Organization
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Legal Business Name | EKING COUNSELING LLC
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 29225 CHAGRIN BLVD STE 100
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City | BEACHWOOD
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State | OH
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Zip | 44122-4632
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Country | US
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Telephone | 216-282-3733
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 391652
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City | SOLON
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State | OH
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Zip | 44139-8652
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Country | US
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Telephone | 216-282-3733
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC L KING SR.
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Credential | MA, MED, LPCC
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Telephone | 216-282-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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