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General NPI Number Information
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NPI Number | 1326562117
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Entity Type | Organization
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Legal Business Name | KATHLEENCADMUS LLC
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 4589 KENNY RD STE 101B
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City | COLUMBUS
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State | OH
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Zip | 43220-2778
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Country | US
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Telephone | 614-723-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 4589 KENNY RD SUITE 101
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City | COLUMBUS
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State | OH
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Zip | 43220-2778
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Country | US
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Telephone | 614-589-7171
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Fax |
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Authorized Official
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Title or Position | ADVANCED PRACTICE NURSE
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Name | KATHLEEN ENGLISH CADMUS
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Credential | ANP, CNS
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Telephone | 614-589-7171
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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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