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NPI 1881406403

NPI 1881406403 : CHRISTOPHER JAMES WENDEL PHD, DBSM : NEW ALBANY, OH

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General NPI Number Information
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    NPI Number           |    1881406403
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER JAMES WENDEL PHD, DBSM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/21/2025
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    150 W MAIN ST FL 2 
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    City                 |    NEW ALBANY
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    State                |    OH
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    Zip                  |    43054-9229
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    Country              |    US
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    Telephone            |    614-293-9600
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    Fax                  |    614-293-1456
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Provider Business Mailing Address
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    Address Line         |    700 ACKERMAN RD STE 2120 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43202-1559
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    Country              |    US
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    Telephone            |    614-293-9600
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    Fax                  |    614-293-1456
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    P.08636
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    License Number State |    OH
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