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General NPI Number Information
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NPI Number | 1811175912
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Entity Type | Organization
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Legal Business Name | SETON FAMILY CENTER
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 3316 WERK RD
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City | CINCINNATI
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State | OH
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Zip | 45211-6844
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Country | US
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Telephone | 513-471-9169
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Fax | 513-471-9159
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Provider Business Mailing Address
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Address Line | 3316 WERK RD
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City | CINCINNATI
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State | OH
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Zip | 45211-6844
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Country | US
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Telephone | 513-471-9169
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Fax | 513-471-9159
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HELMUT ROEHRIG
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Credential | PH.D.
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Telephone | 513-471-9169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I 0005885
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 5639
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License Number State | OH
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