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General NPI Number Information
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NPI Number | 1174419535
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Entity Type | Individual
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Provider Name | LENA RENEE TONA PRINCE QMHS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4653 E MAIN ST
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City | WHITEHALL
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State | OH
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Zip | 43213-3298
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Country | US
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Telephone | 614-875-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 2252 MERIDIAN CT
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City | COLUMBUS
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State | OH
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Zip | 43232-4037
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Country | US
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Telephone | 614-330-9799
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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