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General NPI Number Information
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NPI Number | 1700244175
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Entity Type | Organization
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Legal Business Name | WILEY VENTURES INC
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD 211
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone | 717-856-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 30 S VALLEY RD 211
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | SANDRA K WILEY
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Credential |
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Telephone | 717-856-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW01663
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License Number State | PA
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