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General NPI Number Information
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NPI Number | 1639580988
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Entity Type | Organization
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Legal Business Name | DEAN'S NATURAL WELLNESS
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 3201 BELMONT ST SUITE 400
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City | BELLAIRE
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State | OH
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Zip | 43906-1584
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Country | US
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Telephone | 740-509-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 489 CHARLESTON ST
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City | CADIZ
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State | OH
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Zip | 43907-1272
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Country | US
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Telephone | 740-509-0079
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | SARAH DEAN
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Credential | LPC, NCC, PC
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Telephone | 740-509-0079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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