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General NPI Number Information
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NPI Number | 1689406381
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Entity Type | Organization
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Legal Business Name | PAPER CRANE WELLNESS, LLC
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 1007 JOHNNIE DODDS BLVD STE 129
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-5901
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Country | US
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Telephone | 432-562-0168
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 JOHNNIE DODDS BLVD # B13
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-6123
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Country | US
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Telephone | 843-256-2016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBEKAH PHILLIIPS TOZER
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Credential | LISW-CP
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Telephone | 803-606-0342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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