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General NPI Number Information
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NPI Number | 1043081441
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Entity Type | Organization
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Legal Business Name | SEQUOIA THERAPY GROUP LLC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 635 PARK MEADOW RD STE 203
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City | WESTERVILLE
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State | OH
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Zip | 43081-2877
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Country | US
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Telephone | 614-908-1391
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 ASTRAL DR
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City | HILLIARD
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State | OH
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Zip | 43026-2405
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Country | US
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Telephone | 614-859-6737
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, THERAPIST
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Name | CATHERINE DAVIS
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Credential |
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Telephone | 614-859-6737
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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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