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General NPI Number Information
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NPI Number | 1407379662
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Entity Type | Organization
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Legal Business Name | HEAL WITH CREATIVITY LLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 1844 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15209-1302
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Country | US
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Telephone | 724-854-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 CONIFER CT APT 311
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City | WEXFORD
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State | PA
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Zip | 15090-7359
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JOANNE DEMONTE
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Credential |
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Telephone | 888-924-3627
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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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