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General NPI Number Information
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NPI Number | 1902773146
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Entity Type | Organization
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Legal Business Name | ADVENTURE HEALTHCARE CENTER LLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 6465 E BROAD ST STE A2
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City | COLUMBUS
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State | OH
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Zip | 43213-1576
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Country | US
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Telephone | 614-915-0452
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Fax | 614-927-0470
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Provider Business Mailing Address
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Address Line | 6465 E BROAD ST STE A2
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City | COLUMBUS
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State | OH
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Zip | 43213-1576
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Country | US
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Telephone | 614-915-0452
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Fax | 614-927-0470
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Authorized Official
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Title or Position | CEO
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Name | DEVI C DHITAL
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Credential |
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Telephone | 614-598-2192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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