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General NPI Number Information
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NPI Number | 1538598842
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Entity Type | Organization
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Legal Business Name | HARLAN COUNSELING, PSC
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 2415 W HIGHWAY 72 SUITE 203
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City | HARLAN
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State | KY
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Zip | 40831-7077
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Country | US
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Telephone | 606-273-5359
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Fax | 606-573-8321
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Provider Business Mailing Address
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Address Line | 2415 W HIGHWAY 72 SUITE 101
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City | HARLAN
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State | KY
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Zip | 40831-7077
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Country | US
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Telephone | 606-273-5359
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Fax | 606-573-8321
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK SAMIR SAWAF
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Credential | LPCC
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Telephone | 606-273-5359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1213
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License Number State | KY
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