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General NPI Number Information
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NPI Number | 1841081270
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Entity Type | Organization
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Legal Business Name | THE SORELLA CENTER FOR WOMEN & YOUTH LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 527 HILL RD N
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City | PICKERINGTON
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State | OH
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Zip | 43147-1159
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Country | US
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Telephone | 614-733-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 527 HILL RD N
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City | PICKERINGTON
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State | OH
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Zip | 43147-1159
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Country | US
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Telephone | 614-733-8877
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LOVELY SMITH
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Credential |
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Telephone | 614-733-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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