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General NPI Number Information
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NPI Number | 1497931760
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Entity Type | Organization
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Legal Business Name | BODY TRUTH CENTER FOR WELLNESS LLC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 9403 KENWOOD RD SUITE A 120
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City | CINCINNATI
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State | OH
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Zip | 45242-6895
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Country | US
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Telephone | 513-794-0019
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Fax | 513-794-0464
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Provider Business Mailing Address
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Address Line | 9403 KENWOOD RD SUITE A 120
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City | CINCINNATI
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State | OH
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Zip | 45242-6895
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Country | US
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Telephone | 513-794-0019
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Fax | 513-794-0464
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Authorized Official
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Title or Position | PROGRAM COORDINATOR
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Name | AMY BELLAMAH-DANIEL
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Credential | R.N, R.D., L.D.
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Telephone | 513-794-0019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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