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General NPI Number Information
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NPI Number | 1811269707
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Entity Type | Organization
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Legal Business Name | YARA COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 2740 E MAIN ST SUITE B
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City | BEXLEY
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State | OH
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Zip | 43209-2579
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Country | US
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Telephone | 614-237-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2740 E MAIN ST SUITE B
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City | BEXLEY
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State | OH
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Zip | 43209-2579
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Country | US
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Telephone | 614-237-2700
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Fax |
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Authorized Official
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Title or Position | CEO/PCC-S
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Name | MRS. ZUBERI YARA
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Credential |
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Telephone | 614-237-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.0018331
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0004409-SUPV
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License Number State | OH
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