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General NPI Number Information
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NPI Number | 1821077983
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Entity Type | Organization
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Legal Business Name | ASPEN COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 317 E POPLAR ST
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City | SIDNEY
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State | OH
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Zip | 45365-2754
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Country | US
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Telephone | 937-493-4693
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Fax | 937-493-4694
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Provider Business Mailing Address
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Address Line | 317 E POPLAR ST
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City | SIDNEY
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State | OH
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Zip | 45365-2754
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Country | US
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Telephone | 937-493-4693
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Fax | 937-493-4694
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Authorized Official
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Title or Position | PRESIDENT
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Name | TANYA O'DANIEL
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Credential | MSW, LISW
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Telephone | 937-493-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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