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General NPI Number Information
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NPI Number | 1679947659
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Entity Type | Organization
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Legal Business Name | FORWARD WELLNESS COUNSELING AND CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 239 4TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15222-1706
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Country | US
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Telephone | 412-605-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 3464 CAMPUS ST
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City | PITTSBURGH
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State | PA
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Zip | 15212-2204
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Country | US
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Telephone | 412-605-4211
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | JODIE LYNN HNATKOVICH
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Credential |
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Telephone | 412-605-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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