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General NPI Number Information
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NPI Number | 1922206192
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Entity Type | Organization
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Legal Business Name | MT. CARMEL BEHAVIORAL HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 495 COOPER RD SUITE 209
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City | WESTERVILLE
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State | OH
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Zip | 43081-8780
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Country | US
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Telephone | 614-898-8890
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Fax | 614-898-8892
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Provider Business Mailing Address
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Address Line | 6150 E BROAD ST P.O. BOX 13145
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City | COLUMBUS
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State | OH
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Zip | 43213-1574
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Country | US
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Telephone | 614-546-3322
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Fax | 614-546-3401
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Authorized Official
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Title or Position | FINANCE COORDINATOR
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Name | MRS. CAROL M. WILSON
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Credential |
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Telephone | 614-546-3369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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