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General NPI Number Information
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NPI Number | 1700490422
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Entity Type | Organization
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Legal Business Name | OUTSIDE THE BOX STRATEGIES, LLC
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 5340 ANGORA TER FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3114
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Country | US
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Telephone | 610-809-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 5340 ANGORA TER FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19143-3114
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Country | US
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Telephone | 610-809-6495
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICAL EXECUTIVE DIRECTOR
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Name | SHASHA D JONES
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Credential | MS, LPC, NCC
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Telephone | 610-809-6495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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