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General NPI Number Information
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NPI Number | 1659268043
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Entity Type | Organization
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Legal Business Name | ALLONE HEALTH WELL
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 20 N CLARK ST STE 2750
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City | CHICAGO
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State | IL
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Zip | 60602-5103
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Country | US
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Telephone | 866-296-5262
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Fax | 877-991-8819
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Provider Business Mailing Address
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Address Line | 100 N PENNSYLVANIA AVE
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City | WILKES BARRE
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State | PA
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Zip | 18701-3507
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Country | US
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Telephone | 866-296-5262
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Fax | 877-991-8819
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KELLY LEE
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Credential |
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Telephone | 312-558-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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