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General NPI Number Information
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NPI Number | 1386850543
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Entity Type | Organization
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Legal Business Name | THE HIGHLANDER GROUP
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5450 FAR HILLS AVE SUITE 216
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City | DAYTON
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State | OH
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Zip | 45429-2386
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Country | US
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Telephone | 937-287-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 690 TREASURY DR APT D
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City | KETTERING
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State | OH
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Zip | 45429-6317
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Country | US
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Telephone | 937-287-0945
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SCOTT EVAN HALL
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Credential | PH.D., LPCC
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Telephone | 937-287-0945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E2080
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License Number State | OH
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