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General NPI Number Information
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NPI Number | 1316420516
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Entity Type | Individual
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Provider Name | ILARIA DIBERNARDO-PHILLIPS CT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4664 LARWELL DR
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City | COLUMBUS
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State | OH
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Zip | 43220-3621
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Country | US
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Telephone | 614-487-7805
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Fax |
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Provider Business Mailing Address
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Address Line | 1346 TENAGRA WAY
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City | COLUMBUS
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State | OH
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Zip | 43228-9192
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Country | US
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Telephone | 330-671-3258
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2507159-TRNE
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License Number State | OH
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