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General NPI Number Information
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NPI Number | 1023276839
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Entity Type | Organization
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Legal Business Name | REDMOND AND ASSOCIATES
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 265 W MAIN ST SUITE 102
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City | KENT
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State | OH
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Zip | 44240-2461
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Country | US
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Telephone | 330-678-9210
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Fax | 330-676-1199
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Provider Business Mailing Address
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Address Line | 265 W MAIN ST SUITE 102
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City | KENT
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State | OH
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Zip | 44240-2461
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Country | US
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Telephone | 330-678-9210
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Fax | 330-676-1199
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CHAREL LEE KHOL
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Credential | PH.D.
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Telephone | 330-678-9210
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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 | 3455
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License Number State | OH
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