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General NPI Number Information
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NPI Number | 1194683052
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Entity Type | Organization
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Legal Business Name | DELLA CENTER
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1115 BETHEL RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2690
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Country | US
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Telephone | 614-289-8590
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 BETHEL RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2690
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DERRICKA AGEE
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Credential | LISW-S
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Telephone | 614-289-8590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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