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General NPI Number Information
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NPI Number | 1457068702
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Entity Type | Organization
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Legal Business Name | LRJT INVESTMENTS LLC
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Dates
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Enumeration Date | 11/04/2022
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Last Update Date | 01/28/2024
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Provider Practice Location Address
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Address Line | 1525 CORPORATE WOODS PKWY STE 300
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City | UNIONTOWN
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State | OH
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Zip | 44685-7883
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Country | US
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Telephone | 330-207-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 RAINTREE CIR
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City | UNIONTOWN
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State | OH
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Zip | 44685-7875
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Country | US
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Telephone | 330-207-4500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN PAUL JACOLA
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Credential |
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Telephone | 330-207-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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