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General NPI Number Information
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NPI Number | 1700093424
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Entity Type | Individual
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Provider Name | DENISE LUCILLE DESCHENES M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1640 NEIL AVE 4TH FLOOR
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City | COLUMBUS
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State | OH
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Zip | 43201-2333
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Country | US
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Telephone | 614-292-5766
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Fax | 614-688-3440
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Provider Business Mailing Address
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Address Line | 1640 NEIL AVE 4TH FLOOR
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City | COLUMBUS
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State | OH
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Zip | 43201-2333
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Country | US
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Telephone | 614-292-5766
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Fax | 614-688-3440
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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 | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 35061611
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License Number State | OH
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