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General NPI Number Information
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NPI Number | 1396883732
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Entity Type | Organization
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Legal Business Name | THE JOHN ENGLE CHRISTIAN COUNSELING CENTER
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 225 LUDLOW ST
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City | HAMILTON
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State | OH
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Zip | 45011-2922
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Country | US
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Telephone | 513-896-4357
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Fax | 513-896-1050
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Provider Business Mailing Address
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Address Line | 225 LUDLOW ST
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City | HAMILTON
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State | OH
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Zip | 45011-2922
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Country | US
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Telephone | 513-896-4357
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Fax | 513-896-1050
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. ALICE M STEPHENSON
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Credential |
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Telephone | 513-896-4357
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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 | JO9288521
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License Number State | OH
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