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General NPI Number Information
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NPI Number | 1619686698
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Entity Type | Organization
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Legal Business Name | MINDFUL THERAPY & HYPNOSIS LLC
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 454 PERRY HWY
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City | PITTSBURGH
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State | PA
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Zip | 15229-1819
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Country | US
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Telephone | 412-841-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 454 PERRY HWY
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City | PITTSBURGH
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State | PA
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Zip | 15229-1819
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Country | US
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Telephone | 412-841-1901
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Fax | 888-244-7140
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Authorized Official
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Title or Position | LCSW/MANAGER
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Name | KELLI LYNN STEBLER
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Credential |
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Telephone | 412-841-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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