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General NPI Number Information
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NPI Number | 1245542885
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Entity Type | Organization
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Legal Business Name | HOLISTIC WELLNESS INSTITUTE,INC
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 2234 S HAMILTON RD SUITE 102
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City | COLUMBUS
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State | OH
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Zip | 43232-4389
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Country | US
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Telephone | 614-307-9561
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9244
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City | COLUMBUS
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State | OH
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Zip | 43209-0244
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Country | US
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Telephone | 614-307-9561
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | EDITH MARIE GREEN
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Credential | LPC
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Telephone | 614-307-9561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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