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General NPI Number Information
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NPI Number | 1174320600
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Entity Type | Organization
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Legal Business Name | DOMA LIMITED
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 10 E COLLEGE AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-1601
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Country | US
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Telephone | 614-648-3662
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Fax |
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Provider Business Mailing Address
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Address Line | 5695 MEDALLION DR E
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City | WESTERVILLE
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State | OH
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Zip | 43082-9746
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Country | US
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Telephone | 614-648-3662
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JULIE A. WNUKOWSKI
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Credential | JD, LPCC
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Telephone | 614-648-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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