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General NPI Number Information
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NPI Number | 1396397022
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Entity Type | Organization
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Legal Business Name | K2 ORGANIZING
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 161 S LIBERTY ST
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City | POWELL
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State | OH
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Zip | 43065-7619
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Country | US
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Telephone | 614-795-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 161 S LIBERTY ST
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City | POWELL
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State | OH
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Zip | 43065-7619
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Country | US
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Telephone | 614-795-0626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN KRUZAN
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Credential | LISW-S
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Telephone | 614-795-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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