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General NPI Number Information
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NPI Number | 1376969329
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Entity Type | Organization
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Legal Business Name | EASTON COUNSELING, PLLC
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 6560 HIGHWAY 179 SUITE 204
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City | SEDONA
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State | AZ
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Zip | 86351-7985
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Country | US
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Telephone | 928-214-1071
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Fax | 928-214-1071
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Provider Business Mailing Address
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Address Line | 6560 HIGHWAY 179 STE 204
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City | SEDONA
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State | AZ
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Zip | 86351-6923
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Country | US
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Telephone | 928-214-1070
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Fax | 928-214-1071
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Authorized Official
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Title or Position | CEA
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Name | ROBERT R EASTON
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Credential | LPC
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Telephone | 928-214-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC1329
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License Number State | AZ
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