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General NPI Number Information
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NPI Number | 1386151876
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Entity Type | Organization
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Legal Business Name | THE WAY TO HEALTHY LIVING
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 4508 ZUCK RD
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City | ERIE
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State | PA
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Zip | 16506-4523
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Country | US
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Telephone | 814-833-4853
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Fax | 814-725-0707
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Provider Business Mailing Address
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Address Line | 11229 E LAW RD
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City | NORTH EAST
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State | PA
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Zip | 16428-3804
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Country | US
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Telephone | 814-450-6841
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Fax | 814-725-0707
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Authorized Official
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Title or Position | OWNER
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Name | SELINA UGLOW
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Credential |
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Telephone | 814-450-6841
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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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