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General NPI Number Information
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NPI Number | 1871253955
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Entity Type | Organization
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Legal Business Name | LIFETURN NETWORK, LLC
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1440 CONCHESTER HWY STE 7B
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City | GARNET VALLEY
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State | PA
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Zip | 19060-2105
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Country | US
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Telephone | 484-221-6011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1186
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City | BROOKHAVEN
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State | PA
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Zip | 19015-0186
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Country | US
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Telephone | 484-326-8150
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. SHAWNA J PRICE
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Credential | LCSW
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Telephone | 484-326-8150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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