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General NPI Number Information
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NPI Number | 1982936951
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Entity Type | Organization
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Legal Business Name | GENERATING EMPOWERED MINDS SERVICES
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 1723 RUSHING WAY
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City | COLUMBUS
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State | OH
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Zip | 43235-4331
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Country | US
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Telephone | 614-525-9638
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Fax | 614-573-7186
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Provider Business Mailing Address
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Address Line | 1723 RUSHING WAY
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City | COLUMBUS
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State | OH
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Zip | 43235-4331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR ADMINISTRATOR
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Name | MRS. LIAT JOHNSON
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Credential | LISW-S
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Telephone | 614-525-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I. 0010240 SUPV
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License Number State | OH
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