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General NPI Number Information
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NPI Number | 1649096272
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Entity Type | Organization
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Legal Business Name | AGING WITH RESILIENCE
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1072 SUSAN RD
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City | RAVENNA
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State | OH
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Zip | 44266-3583
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Country | US
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Telephone | 843-304-4895
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Fax |
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Provider Business Mailing Address
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Address Line | 1072 SUSAN RD
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City | RAVENNA
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State | OH
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Zip | 44266-3583
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Country | US
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Telephone | 843-304-4895
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHYANNE FARRIS
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Credential |
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Telephone | 843-304-4895
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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 |
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License Number State |
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