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General NPI Number Information
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NPI Number | 1578479408
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Entity Type | Organization
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Legal Business Name | PAVLO THERAPY, LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 607 HIGHPOINTE CIR
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City | LANGHORNE
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State | PA
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Zip | 19047-5160
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Country | US
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Telephone | 267-223-4353
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Fax |
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Provider Business Mailing Address
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Address Line | 2093 PHILADELPHIA PIKE # 6014
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City | CLAYMONT
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State | DE
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Zip | 19703-2424
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Country | US
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Telephone | 267-223-4353
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Fax |
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Authorized Official
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Title or Position | OWNER / FOUNDER
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Name | ALEXANDER THERAPY PAVLO
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Credential | LCSW
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Telephone | 267-223-4353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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