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General NPI Number Information
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NPI Number | 1841780053
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Entity Type | Organization
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Legal Business Name | A POSITIVE PATHWAY, LLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1009 COUNTY ROAD 123
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City | OAKLAND
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State | AR
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Zip | 72661
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Country | US
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Telephone | 888-316-1570
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Fax | 888-316-1570
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Provider Business Mailing Address
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Address Line | 1009 COUNTY ROAD 123
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City | OAKLAND
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State | AR
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Zip | 72661-9079
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Country | US
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Telephone | 888-316-1570
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Fax | 888-316-1570
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | LISA MARIE PAUL
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Credential | LCSW
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Telephone | 888-316-1570
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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 | 7983-C
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License Number State | AR
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