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General NPI Number Information
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NPI Number | 1447634514
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Entity Type | Organization
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Legal Business Name | KALEIGH TURICK MS, NCC, LPC
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 628 CRANBERRY ST
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City | ERIE
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State | PA
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Zip | 16502-1117
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Country | US
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Telephone | 814-602-6482
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 W 6TH ST
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City | ERIE
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State | PA
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Zip | 16505-2503
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Country | US
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Telephone | 814-636-0532
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/THERAPIST
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Name | MISS KALEIGH N TURICK
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Credential | LPC
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Telephone | 814-636-0532
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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 | PC008272
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License Number State | PA
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