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1538940929
NPMIKE01
COLUMBUS, OH
NPI
1538940929
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Entity Type
Organization
Authorized Contact
MICHAEL A HODGE
Owner
347-451-2739
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-11
Last Update Date
2023-11-08
Business Address
NPMIKE01
1500 S HAMILTON RD STE E
COLUMBUS, OH 43227-2414
Phone number: 855-676-4531
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Mailing Address
NPMIKE01
PO BOX 27611
COLUMBUS, OH 43227-0611
Phone number: 855-676-4531
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