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General NPI Number Information
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NPI Number | 1982593257
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Entity Type | Organization
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Legal Business Name | SUNNY POPSICLE LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 39 2ND ST
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City | NEW ALBANY
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State | OH
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Zip | 43054-9784
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Country | US
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Telephone | 614-924-8312
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Fax | 614-881-7076
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Provider Business Mailing Address
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Address Line | 39 2ND ST
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City | NEW ALBANY
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State | OH
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Zip | 43054-9784
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Country | US
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Telephone | 614-924-8312
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Fax | 614-881-7076
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Authorized Official
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Title or Position | OWNER
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Name | ALLISON MAY CROSBY
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Credential | NP
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Telephone | 614-924-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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