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General NPI Number Information
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NPI Number | 1518473891
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Entity Type | Organization
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Legal Business Name | LET'S CONQUER THIS, LLC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 17 MERLINE AVE
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City | ERIE
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State | PA
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Zip | 16509-1567
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Country | US
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Telephone | 814-566-0374
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Fax | 814-920-7108
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Provider Business Mailing Address
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Address Line | 17 MERLINE AVE
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City | ERIE
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State | PA
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Zip | 16509-1567
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Country | US
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Telephone | 814-566-0374
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Fax | 814-920-7108
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Authorized Official
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Title or Position | PARTNERSHIP
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Name | ALYSSA BEER
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Credential | LCSW
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Telephone | 814-566-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW129679
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License Number State | PA
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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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