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General NPI Number Information
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NPI Number | 1750980926
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Entity Type | Organization
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Legal Business Name | CULTIVATING CHANGE COUNSELING
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 641 N 13TH ST STE E101
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City | EASTON
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State | PA
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Zip | 18042-1430
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Country | US
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Telephone | 610-602-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 323 S FULTON ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-4527
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Country | US
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Telephone | 484-602-5485
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER MCNEAR
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Credential |
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Telephone | 484-358-0708
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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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