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General NPI Number Information
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NPI Number | 1891858130
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Entity Type | Organization
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Legal Business Name | ARBORGATE ASSOCIATES INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 24551 DETROIT RD STE 5
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City | WESTLAKE
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State | OH
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Zip | 44145-2592
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Country | US
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Telephone | 440-892-0452
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Fax | 440-892-3472
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Provider Business Mailing Address
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Address Line | 31571 SCHWARTZ RD
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City | WESTLAKE
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State | OH
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Zip | 44145-3760
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Country | US
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Telephone | 440-892-0452
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Fax | 440-892-3472
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Authorized Official
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Title or Position | DIRECTOR CLINICAL SERVICES
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Name | SALLY P RAPP
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Credential | LPCC
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Telephone | 440-892-0452
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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