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General NPI Number Information
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NPI Number | 1801535653
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Entity Type | Organization
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Legal Business Name | AFFINITY COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 2305 W FRANKLIN ST
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City | EVANSVILLE
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State | IN
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Zip | 47712-5118
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Country | US
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Telephone | 518-488-7404
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Fax |
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Provider Business Mailing Address
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Address Line | 8015 BLESSING WAY
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City | EVANSVILLE
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State | IN
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Zip | 47712-2984
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Country | US
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Telephone | 518-488-7404
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY ERMI
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Credential |
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Telephone | 518-488-7404
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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 |
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License Number State |
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