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General NPI Number Information
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NPI Number | 1346695574
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Entity Type | Organization
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Legal Business Name | RELATIONSHIPS LLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 1200 W 5TH AVE SUITE 102
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City | COLUMBUS
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State | OH
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Zip | 43212-2503
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Country | US
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Telephone | 614-407-5964
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Fax |
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Provider Business Mailing Address
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Address Line | 926 TORRIDON CT
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City | PICKERINGTON
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State | OH
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Zip | 43147-8754
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Country | US
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Telephone | 614-370-3168
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. SUJATA PONAPPA
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Credential | PH.D; MFT
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Telephone | 614-370-3168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | M.1400031
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License Number State | OH
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