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General NPI Number Information
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NPI Number | 1124812821
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Entity Type | Organization
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Legal Business Name | THE OTHER SIDE CONSULTING, LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 350 E 1ST AVE STE 114
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City | COLUMBUS
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State | OH
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Zip | 43201-3792
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Country | US
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Telephone | 214-264-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 4253 ELLERY DR
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City | COLUMBUS
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State | OH
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Zip | 43227-3648
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Country | US
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Telephone | 214-264-1337
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR OF CLINICAL SERVICE
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Name | CARESS L LOFTIN
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Credential | MSW, LISW-S
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Telephone | 214-264-1337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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