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General NPI Number Information
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NPI Number | 1508936204
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO BEHAVIORAL MEDICINE INC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5151 REED RD BLDG C STE 128
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City | COLUMBUS
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State | OH
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Zip | 43220-2553
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Country | US
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Telephone | 614-538-8300
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Fax | 614-538-1656
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Provider Business Mailing Address
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Address Line | 5151 REED RD BLDG C STE 128
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City | COLUMBUS
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State | OH
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Zip | 43220-2553
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Country | US
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Telephone | 614-538-8300
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Fax | 614-538-1656
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER PANOS ZAFIRIDES
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Credential | MD
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Telephone | 614-538-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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