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General NPI Number Information
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NPI Number | 1699419895
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Entity Type | Organization
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Legal Business Name | APPLE TREE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 04/24/2022
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Last Update Date | 04/24/2022
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Provider Practice Location Address
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Address Line | 401 LINCOLN ST
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City | TAYLOR
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State | PA
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Zip | 18517-1929
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Country | US
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Telephone | 570-430-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 401 LINCOLN ST
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City | TAYLOR
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State | PA
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Zip | 18517-1929
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Country | US
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Telephone | 570-430-4526
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. AMY TALIPSKI
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Credential | LPC
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Telephone | 570-430-4526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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