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General NPI Number Information
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NPI Number | 1902254949
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Entity Type | Organization
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Legal Business Name | P.A.L.S. FOR HEALING
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 4700 ROCKSIDE RD STE 135
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2171
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Country | US
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Telephone | 330-518-8334
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Fax | 440-628-8123
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Provider Business Mailing Address
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Address Line | 4700 ROCKSIDE RD STE 135
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2171
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Country | US
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Telephone | 330-518-8334
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Fax | 440-628-8123
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MISTY SAVIANO
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Credential | ATR, LPCC
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Telephone | 330-518-8334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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