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General NPI Number Information
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NPI Number | 1174648018
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Entity Type | Organization
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Legal Business Name | COLUMBIA COUNSELING CONSULTING AND RESEARCH LLC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 A COMMERCE PARK DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-8349
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Country | US
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Telephone | 614-523-3918
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Fax | 614-523-3900
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Provider Business Mailing Address
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Address Line | 115 A COMMERCE PARK DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-8349
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Country | US
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Telephone | 614-523-3918
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Fax | 614-523-3900
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Authorized Official
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Title or Position | PROVIDER
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Name | DON D ALLEN
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Credential | PHD LISW
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Telephone | 614-523-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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