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General NPI Number Information
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NPI Number | 1457091209
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Entity Type | Organization
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Legal Business Name | INNATE STRENGTH HEALTHCARE
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 527 NORTHRIDGE RD
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City | COLUMBUS
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State | OH
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Zip | 43214-3331
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Country | US
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Telephone | 937-260-7172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1181
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City | WORTHINGTON
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State | OH
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Zip | 43085-1181
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Country | US
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Telephone | 614-758-8078
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. MCKINZI WARREN
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Credential | LSW
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Telephone | 614-758-8078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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