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General NPI Number Information
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NPI Number | 1467541441
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Entity Type | Organization
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Legal Business Name | CHOICES FOR VICTIMS OF DOMESTIC VIOLENCE
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 2225 N CASSADY AVE
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City | COLUMBUS
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State | OH
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Zip | 43219-1512
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Country | US
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Telephone | 614-224-6617
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Fax | 614-337-1186
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Provider Business Mailing Address
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Address Line | 1105 SCHROCK RD STE 100
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City | COLUMBUS
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State | OH
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Zip | 43229-1165
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Country | US
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Telephone | 614-224-6617
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Fax | 614-337-1186
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. MARIA HOUSTON
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Credential | PSYD
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Telephone | 614-453-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 078
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | OH
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