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General NPI Number Information
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NPI Number | 1366558645
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Entity Type | Individual
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Provider Name | SUSAN K KAHLE PHD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 21 E STATE ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4281
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | 550 N MAIN ST UNIT B
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City | SPRINGBORO
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State | OH
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Zip | 45066-7520
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Country | US
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Telephone | 937-901-3122
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Fax | 937-748-8206
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY10906
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5806
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License Number State | OH
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