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General NPI Number Information
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NPI Number | 1780983015
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Entity Type | Individual
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Provider Name | MISS KELLI NICHOLE VOTEL
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Gender | Female
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 43 EAST MAIN STREET
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City | AMELIA
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State | OH
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Zip | 45102
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Country | US
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Telephone | 513-947-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 SUGAR CAMP DRIVE
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City | INDEPENDENCE
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State | KY
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Zip | 41051
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Country | US
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Telephone | 513-546-5198
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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