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General NPI Number Information
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NPI Number | 1669126199
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Entity Type | Organization
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Legal Business Name | MINDABILITY CONCIERGE, LLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 351 PINE RIDGE LN
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City | INDIANA
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State | PA
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Zip | 15701-8688
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Country | US
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Telephone | 724-200-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 351 PINE RIDGE LN
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City | INDIANA
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State | PA
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Zip | 15701-8688
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Country | US
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Telephone | 724-200-8027
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | AMY NOEL RHOADES
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Credential | MSW, LCSW, BSN, RN
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Telephone | 724-200-8027
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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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