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General NPI Number Information
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NPI Number | 1932264785
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PERSPECTIVES PARTNERSHIP, INC.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 4450 BELDEN VILLAGE ST NW STE. 202
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City | CANTON
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State | OH
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Zip | 44718-2596
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Country | US
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Telephone | 330-492-8494
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Fax | 330-492-8294
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Provider Business Mailing Address
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Address Line | 4450 BELDEN VILLAGE ST NW STE. 202
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City | CANTON
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State | OH
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Zip | 44718-2596
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Country | US
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Telephone | 330-492-8494
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Fax | 330-492-8294
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MARY KATHLEEN PROSPERO
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Credential | PH.D.
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Telephone | 330-492-8494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4438
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License Number State | OH
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