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General NPI Number Information
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NPI Number | 1447975842
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Entity Type | Organization
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Legal Business Name | HEALING PATHS THERAPY INC
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 460 HEATHERGLEN LN
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City | SAN DIMAS
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State | CA
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Zip | 91773-1001
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Country | US
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Telephone | 81-861-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 981 W ARROW HWY # 4418
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City | SAN DIMAS
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State | CA
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Zip | 91773-2410
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Country | US
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Telephone | 626-923-8083
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KEMI ARLENE ALEMOH
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Credential | LCSW
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Telephone | 626-923-8083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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