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General NPI Number Information
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NPI Number | 1992898829
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Entity Type | Organization
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Legal Business Name | RESOURCES FOR HEALTHY LIVING INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 LOUSIANA AVENUE SUITE A
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City | PERRYSBURG
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State | OH
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Zip | 43551
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Country | US
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Telephone | 419-874-9488
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Fax | 419-874-4822
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Provider Business Mailing Address
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Address Line | 330 LOUSIANA AVENUE SUITE A
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City | PERRYSBURG
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State | OH
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Zip | 43551
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Country | US
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Telephone | 419-874-9488
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Fax | 419-874-4822
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Authorized Official
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Title or Position | MARCIA WARD PHD
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Name | MARCIA WARD
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Credential | PHD
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Telephone | 419-874-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5761
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License Number State | OH
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