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General NPI Number Information
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NPI Number | 1376912055
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Entity Type | Individual
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Provider Name | CALLIE MITCHELL APRN-CNP, RN, IMFT-S
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Gender | Female
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 59 GRANT ST
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City | NEWARK
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State | OH
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Zip | 43055-3939
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Country | US
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Telephone | 740-349-7511
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Fax |
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Provider Business Mailing Address
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Address Line | 6265 RIVERSIDE DR STE 2S
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City | DUBLIN
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State | OH
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Zip | 43017-5444
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F.1500018
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.530883
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0039478
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License Number State | OH
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