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General NPI Number Information
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NPI Number | 1306291190
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Entity Type | Organization
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Legal Business Name | MARCUS COUNSELING LLC
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 1075 BEECHER XING N SUITE C
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City | GAHANNA
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State | OH
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Zip | 43230-4572
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Country | US
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Telephone | 614-980-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 7576 ALPATH RD
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City | NEW ALBANY
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State | OH
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Zip | 43054-9625
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Country | US
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Telephone | 980-475-1441
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Fax |
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Authorized Official
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Title or Position | FOUNDER/THERAPIST
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Name | SUSAN MARCUS
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Credential | LISW
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Telephone | 614-980-4052
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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 | I1100077
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License Number State | OH
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