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General NPI Number Information
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NPI Number | 1346374196
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Entity Type | Organization
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Legal Business Name | MCGRATH ADOLESCENT & FAMILY CENTER
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8260 NORTHCREEK DR 380
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City | CINCINNATI
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State | OH
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Zip | 45236-2293
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Country | US
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Telephone | 513-271-0803
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Fax | 513-272-4132
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Provider Business Mailing Address
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Address Line | 8260 NORTHCREEK DR 380
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City | CINCINNATI
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State | OH
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Zip | 45236-2293
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Country | US
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Telephone | 513-271-0803
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Fax | 513-272-4132
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Authorized Official
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Title or Position | OFC.MNGR.
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Name | MS. LINDA L BOOHER
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Credential |
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Telephone | 513-271-0803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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