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General NPI Number Information
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NPI Number | 1912384256
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Entity Type | Organization
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Legal Business Name | YOU TURN INC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 318 S OAK
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City | CALIFORNIA
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State | MO
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Zip | 65018
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Country | US
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Telephone | 573-796-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 318 S OAK
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City | CALIFORNIA
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State | MO
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Zip | 65018
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Country | US
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Telephone | 573-796-2233
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Fax |
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Authorized Official
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Title or Position | COUNSELOR / OFFICE MANAGER
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Name | WILLIAM WALLACE
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Credential | M.ED., PLPC, CRAADC
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Telephone | 573-796-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2013038285
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License Number State | MO
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