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General NPI Number Information
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NPI Number | 1992662001
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Entity Type | Individual
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Provider Name | OLIVIA SHAGLA
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 90 NORTHWOODS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-4719
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Country | US
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Telephone | 614-805-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 7804 SUGAR CREEK RD APT 101
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City | WORTHINGTON
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State | OH
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Zip | 43085-5935
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Country | US
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Telephone | 330-941-9345
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C.2305473
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License Number State | OH
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