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General NPI Number Information
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NPI Number | 1548024367
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Entity Type | Organization
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Legal Business Name | LIFE SUPPORT BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 700 BRYDEN RD STE 120
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City | COLUMBUS
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State | OH
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Zip | 43215-4839
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Country | US
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Telephone | 614-705-0347
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 TAYLOR PARK DR # 1024
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-8052
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Country | US
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Telephone | 614-906-9095
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | APPECHHA NEUPANE
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Credential |
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Telephone | 614-906-9095
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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 |
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License Number State |
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