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General NPI Number Information
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NPI Number | 1922031988
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO COUNSELING INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 1035 PROPRIETORS RD
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City | WORTHINGTON
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State | OH
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Zip | 43085-3230
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Country | US
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Telephone | 614-785-1115
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Fax | 614-785-0095
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Provider Business Mailing Address
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Address Line | 1035 PROPRIETORS RD
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City | WORTHINGTON
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State | OH
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Zip | 43085-3230
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Country | US
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Telephone | 614-785-1115
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Fax | 614-785-0095
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILMER K FURUTA
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Credential | M.D.
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Telephone | 614-785-1115
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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 | 0002344
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License Number State | OH
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