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General NPI Number Information
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NPI Number | 1083406482
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Entity Type | Organization
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Legal Business Name | MIDWEST INTEGRATED CARE
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 165 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1585
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Country | US
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Telephone | 614-289-8492
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Fax |
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Provider Business Mailing Address
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Address Line | 165 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GITI MAYTON
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Credential | LISW-S, LICDC
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Telephone | 614-767-9538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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