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General NPI Number Information
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NPI Number | 1154489441
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Entity Type | Individual
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Provider Name | CATHY DELLA MORA PHD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 7870 OLENTANGY RIVER RD SUITE 310
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City | COLUMBUS
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State | OH
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Zip | 43235-1319
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Country | US
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Telephone | 614-433-2558
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Fax | 614-433-2558
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Provider Business Mailing Address
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Address Line | PO BOX 1216
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City | WORTHINGTON
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State | OH
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Zip | 43085-1216
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Country | US
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Telephone | 614-433-2558
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Fax | 614-433-2558
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 4975
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License Number State | OH
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