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General NPI Number Information
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NPI Number | 1538725718
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Entity Type | Organization
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Legal Business Name | RENEWING MIND COUNSELING
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 1270 JACKSON ST STE D
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City | COLUMBUS
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State | IN
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Zip | 47201-5774
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Country | US
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Telephone | 812-657-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 3565 ASHWOOD CT
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City | COLUMBUS
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State | IN
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Zip | 47203-2045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA BOWLING
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Credential |
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Telephone | 812-657-0615
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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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