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General NPI Number Information
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NPI Number | 1689209009
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Entity Type | Organization
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Legal Business Name | 333 THERAPEUTICS CONSULTING LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1417 E MAIN ST STE D
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City | EATON
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State | OH
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Zip | 45320-2231
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Country | US
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Telephone | 937-336-5094
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Fax | 574-406-7311
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Provider Business Mailing Address
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Address Line | 331 TOBY RD
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City | EATON
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State | OH
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Zip | 45320-9529
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Country | US
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Telephone | 937-694-2150
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MELISSA WHITESELL
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Credential | CNP
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Telephone | 937-694-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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