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General NPI Number Information
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NPI Number | 1043946163
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Entity Type | Organization
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Legal Business Name | CFF MEDICAL & BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 1569 BENT MAPLE DR
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City | BLACKLICK
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State | OH
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Zip | 43004-8197
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Country | US
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Telephone | 614-446-6016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 313
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City | BLACKLICK
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State | OH
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Zip | 43004-0313
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Country | US
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Telephone | 614-446-6016
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. ENESTINE AZENKENG TASONG
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Credential | NP
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Telephone | 614-446-6016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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