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General NPI Number Information
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NPI Number | 1619233004
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Entity Type | Organization
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Legal Business Name | DEAN'S RATIONAL MIND
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 148 MAIN ST
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City | CADIZ
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State | OH
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Zip | 43907
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Country | US
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Telephone | 740-509-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 148 MAIN ST
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City | CADIZ
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State | OH
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Zip | 43907
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Country | US
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Telephone | 740-509-0079
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | SARAH DEAN
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Credential |
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Telephone | 740-509-0079
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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 | C0700218
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License Number State | OH
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