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General NPI Number Information
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NPI Number | 1669598017
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Entity Type | Individual
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Provider Name | RHONDA J LILLEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1550 OLD HENDERSON RD STE E212
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City | COLUMBUS
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State | OH
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Zip | 43220-3652
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Country | US
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Telephone | 614-947-0936
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Fax | 614-947-0937
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Provider Business Mailing Address
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Address Line | 8963 MACINTYRE DR
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City | DUBLIN
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State | OH
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Zip | 43017-8543
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Country | US
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Telephone | 614-764-9791
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Fax | 614-764-1392
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4480
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License Number State | OH
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