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General NPI Number Information
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NPI Number | 1922446731
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Entity Type | Organization
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Legal Business Name | WEINBERG COUNSELING GROUP LLC
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 130 NORTHWOODS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-7473
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Country | US
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Telephone | 614-289-8920
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Fax |
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Provider Business Mailing Address
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Address Line | 99 N WASHINGTON ST
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City | DELAWARE
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State | OH
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Zip | 43015-1749
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Country | US
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Telephone | 614-289-8920
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DAVID AVRUM WEINBERG
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Credential | MSW, LISW
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Telephone | 614-289-8920
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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 | I1100131
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License Number State | OH
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