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General NPI Number Information
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NPI Number | 1972487650
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Entity Type | Organization
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Legal Business Name | WITHIN THE WONDER WELLNESS LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2220 W 8TH ST STE 1
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City | ERIE
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State | PA
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Zip | 16505-4543
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Country | US
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Telephone | 814-480-9867
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Fax |
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Provider Business Mailing Address
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Address Line | 10074 SEELEY ST
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City | LAKE CITY
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State | PA
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Zip | 16423-1546
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Country | US
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Telephone | 814-602-8297
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Fax |
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | KARLY BENDER
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Credential | LCSW
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Telephone | 814-480-9867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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