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General NPI Number Information
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NPI Number | 1831731330
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Entity Type | Organization
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Legal Business Name | FAMILY CONNECTION 8, LLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 140 WADSWORTH RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9503
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Country | US
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Telephone | 323-683-1388
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Fax |
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Provider Business Mailing Address
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Address Line | 140 WADSWORTH RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9503
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Country | US
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Telephone | 323-683-1388
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MR. DENNIS JOSHUA BUSSON
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Credential | IMFT
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Telephone | 323-683-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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