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General NPI Number Information
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NPI Number | 1558854067
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Entity Type | Organization
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Legal Business Name | RESTORING BALANCE COUNSELING, LLC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 1525 OREGON PIKE STE 602
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City | LANCASTER
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State | PA
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Zip | 17601-4374
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Country | US
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Telephone | 717-371-3836
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Fax |
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Provider Business Mailing Address
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Address Line | 175 BLOSSOM HILL DR
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City | LANCASTER
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State | PA
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Zip | 17601-3209
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Country | US
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Telephone | 717-371-3836
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGG HAMMOND
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Credential | M.S., L.P.C.
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Telephone | 717-371-3836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PC008412
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License Number State | PA
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