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General NPI Number Information
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NPI Number | 1609492628
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO YOU MENTAL HEALTH COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 509 5TH AVE NW
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City | MINOT
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State | ND
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Zip | 58703-2219
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Country | US
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Telephone | 218-760-8159
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Fax |
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Provider Business Mailing Address
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Address Line | 509 5TH AVE NW
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City | MINOT
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State | ND
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Zip | 58703-2219
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Country | US
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Telephone | 218-760-8159
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC NANCE
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Credential |
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Telephone | 218-760-8159
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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 |
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License Number State |
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