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General NPI Number Information
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NPI Number | 1942122700
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Entity Type | Organization
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Legal Business Name | BRAVE GROUND EQUINE THERAPY
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 230 HOLTZMAN RD
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City | REINHOLDS
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State | PA
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Zip | 17569-9702
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Country | US
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Telephone | 717-584-1758
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Fax |
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Provider Business Mailing Address
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Address Line | 40 GREEN CT
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City | DENVER
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State | PA
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Zip | 17517-9547
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Country | US
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Telephone | 717-584-1758
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/VP
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Name | DR. MARY KATE E LINEBARGER
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Credential | ED.D
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Telephone | 717-979-9981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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