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General NPI Number Information
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NPI Number | 1538367172
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Entity Type | Organization
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Legal Business Name | TAKODA ENTERPRISES, INC.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9900 CARVER RD SUITE 101
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City | CINCINNATI
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State | OH
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Zip | 45242-5523
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Country | US
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Telephone | 513-961-2400
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Fax | 513-961-7444
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Provider Business Mailing Address
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Address Line | 9900 CARVER RD SUITE 101
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City | CINCINNATI
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State | OH
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Zip | 45242-5523
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Country | US
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Telephone | 513-961-2400
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Fax | 513-961-7444
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Authorized Official
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Title or Position | COUNSELOR
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Name | DR. BARBARA J. HENSLEY
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Credential | ED.D.
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Telephone | 513-961-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E0002468
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License Number State | OH
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