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General NPI Number Information
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NPI Number | 1588802326
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Entity Type | Organization
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Legal Business Name | OPEN HEART STUDIO LLC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 32191 NASSAU RD SUITE 3
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City | LEWES
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State | DE
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Zip | 19958-3762
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Country | US
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Telephone | 302-381-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 31258 EDGEWOOD DR
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City | LEWES
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State | DE
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Zip | 19958-3840
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Country | US
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Telephone | 302-381-0212
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Fax |
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Authorized Official
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Title or Position | LICENSENED PROFESSIONAL COUNSELOR
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Name | KAREN L BARWICK
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Credential | LPCMH, NCC
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Telephone | 302-381-0212
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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 | PC0000459
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License Number State | DE
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