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General NPI Number Information
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NPI Number | 1639213473
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Entity Type | Organization
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Legal Business Name | WYOMING VALLEY CHILDRENS ASSOCIATION
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1133 WYOMING AVE
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City | FORTY FORT
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State | PA
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Zip | 18704-4003
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Country | US
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Telephone | 570-714-1246
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Fax | 570-714-1249
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Provider Business Mailing Address
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Address Line | 1133 WYOMING AVE
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City | FORTY FORT
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State | PA
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Zip | 18704-4003
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Country | US
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Telephone | 570-714-1246
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Fax | 570-714-1249
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NINA ZANON
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Credential |
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Telephone | 570-714-1246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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