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General NPI Number Information
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NPI Number | 1265143226
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Entity Type | Organization
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Legal Business Name | ANDREW STRYKER PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-202-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-202-6064
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | ANDREW STRYKER
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Credential | LISW-S
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Telephone | 513-202-6064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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