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General NPI Number Information
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NPI Number | 1770184244
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Entity Type | Organization
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Legal Business Name | WORKS OF FAITH WELLNESS AND CONSULTATION, LLC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 867 MOSAIC CT
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City | COLUMBUS
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State | OH
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Zip | 43230-3835
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Country | US
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Telephone | 614-656-7983
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 N HAMILTON RD # 83
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City | COLUMBUS
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State | OH
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Zip | 43230-6785
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Country | US
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Telephone | 614-656-7983
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DORIENNA M ALFRED
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Credential | PH.D.
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Telephone | 614-656-7983
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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 |
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License Number State |
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