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General NPI Number Information
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NPI Number | 1073064010
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Entity Type | Organization
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Legal Business Name | COLUMBUS CENTER FOR HUMAN SERVICES, INC.
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 6535 EVENING ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-3058
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Country | US
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Telephone | 614-641-2900
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Fax | 614-278-1125
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Provider Business Mailing Address
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Address Line | 540 INDUSTRIAL MILE RD
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City | COLUMBUS
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State | OH
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Zip | 43228-2413
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Country | US
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Telephone | 614-641-2900
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Fax | 614-278-1125
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | REBECCA LEIGH SHARP
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Credential |
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Telephone | 614-641-2901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2500243
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License Number State | OH
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