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General NPI Number Information
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NPI Number | 1679367965
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Entity Type | Organization
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Legal Business Name | DAYLIGHT THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 118 N MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2419
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Country | US
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Telephone | 412-206-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 118 N MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2419
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Country | US
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Telephone | 412-206-9565
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETHANNE PETRYLAK
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Credential | LMFT,CEDS
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Telephone | 570-579-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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