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General NPI Number Information
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NPI Number | 1699312884
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Entity Type | Organization
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Legal Business Name | CHANGE FROM WITHIN COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 2850 WILLOW STREET PIKE N STE B
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City | WILLOW STREET
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State | PA
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Zip | 17584-9231
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Country | US
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Telephone | 717-517-9070
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Fax | 717-517-8153
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Provider Business Mailing Address
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Address Line | 2850 WILLOW STREET PIKE N STE B
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City | WILLOW STREET
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State | PA
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Zip | 17584-9231
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Country | US
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Telephone | 717-517-9070
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Fax | 717-517-8153
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Authorized Official
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Title or Position | OWNER/PROFESSIONAL COUNSELOR
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Name | DAWN MARIE BALDWIN
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Credential |
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Telephone | 717-517-9070
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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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