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General NPI Number Information
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NPI Number | 1477573079
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Entity Type | Organization
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Legal Business Name | THE FAMILY INSTITUTE, INC.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 100 STATE ST SUITE 202
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City | ERIE
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State | PA
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Zip | 16507-1453
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Country | US
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Telephone | 814-480-8797
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Fax | 814-459-2303
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Provider Business Mailing Address
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Address Line | 100 STATE ST SUITE 202
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City | ERIE
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State | PA
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Zip | 16507-1453
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Country | US
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Telephone | 814-480-8797
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Fax | 814-459-2303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOMENICO CHIARIELLO
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Credential | PH.D.
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Telephone | 814-480-8797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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