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General NPI Number Information
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NPI Number | 1336355890
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Entity Type | Organization
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Legal Business Name | PSYCHCARE INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 8118 CORPORATE WAY STE 121
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 513-919-5860
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Fax | 513-677-9293
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Provider Business Mailing Address
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Address Line | 11985 HARBORTOWN DR
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City | CINCINNATI
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State | OH
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Zip | 45249-1757
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Country | US
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Telephone | 513-919-5860
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUDITH A CONDIT
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Credential | PSY.D
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Telephone | 513-919-5860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | OH
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