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General NPI Number Information
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NPI Number | 1710573217
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Entity Type | Organization
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Legal Business Name | A SILVER LINING
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 5555 HAVENS CORNERS RD
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City | GAHANNA
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State | OH
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Zip | 43230-3134
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Country | US
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Telephone | 614-949-4945
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Fax | 614-944-9059
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Provider Business Mailing Address
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Address Line | PO BOX 30890
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City | GAHANNA
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State | OH
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Zip | 43230-0890
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Country | US
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Telephone | 614-949-4945
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | KELLY TILLEY
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Credential |
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Telephone | 614-949-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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