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General NPI Number Information
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NPI Number | 1508360959
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Entity Type | Organization
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Legal Business Name | ALPINE HEALTH & HEALING
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 893 HIGH ST STE G
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City | WORTHINGTON
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State | OH
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Zip | 43085-4134
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Country | US
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Telephone | 614-664-7970
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Fax |
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Provider Business Mailing Address
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Address Line | 5204 HONEYTREE LOOP W
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City | COLUMBUS
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State | OH
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Zip | 43229-4631
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Country | US
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Telephone | 614-664-7970
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHELLEY MILLER
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Credential |
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Telephone | 614-644-7970
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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 | I1000186
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License Number State | OH
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