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General NPI Number Information
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NPI Number | 1447650965
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Entity Type | Organization
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Legal Business Name | UPTURN, LLC
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 2405 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1155
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Country | US
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Telephone | 717-745-7463
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1155
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Country | US
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Telephone | 717-745-7463
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO, PRINCIPAL
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Name | DIANA LEA BROWN
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Credential | PSY.D.
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Telephone | 717-745-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016958
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License Number State | PA
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