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General NPI Number Information
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NPI Number | 1083806665
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Entity Type | Individual
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Provider Name | KRISTIN NICHOLE RASMUSSEN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 1601 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1054
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Country | US
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Telephone | 614-272-3082
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Fax |
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Provider Business Mailing Address
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Address Line | 754 LINNCREST DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-2437
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Country | US
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Telephone | 801-230-8436
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS016400
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License Number State | PA
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