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General NPI Number Information
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NPI Number | 1619408226
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Entity Type | Individual
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Provider Name | CELIA A MULLINS
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 449 N 3RD ST
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City | HAMILTON
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State | OH
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Zip | 45011-1653
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Country | US
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Telephone | 513-868-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 515 DAYTON ST
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City | HAMILTON
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State | OH
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Zip | 45011-3455
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.161361
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License Number State | OH
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