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General NPI Number Information
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NPI Number | 1376428516
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Entity Type | Organization
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Legal Business Name | CARDINAL DOVE COUNSELING
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1656 W MAIN ST
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City | EPHRATA
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State | PA
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Zip | 17522-1103
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Country | US
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Telephone | 717-299-7638
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Fax |
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Provider Business Mailing Address
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Address Line | 41 AUTUMN BLAZE WAY
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City | EPHRATA
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State | PA
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Zip | 17522-2730
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Country | US
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Telephone | 610-350-1031
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER/PSYCHOTHERAPIST
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Name | MR. MICHAEL KOBLENSKY
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Credential | LCSW
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Telephone | 610-350-1031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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