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General NPI Number Information
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NPI Number | 1336622984
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Entity Type | Individual
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Provider Name | CARLA MARIE RINALDI LAC.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 133 WILSON AVE APT B
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City | COLUMBUS
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State | OH
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Zip | 43205-1494
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Country | US
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Telephone | 614-906-6922
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Fax |
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Provider Business Mailing Address
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Address Line | 133 WILSON AVE APT B
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City | COLUMBUS
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State | OH
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Zip | 43205-1494
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Country | US
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Telephone | 614-906-6922
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 65.000335
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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