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NPI Code Detail

MEDICARE: MR. JEFFREY DUBIN LISW-S

MEDICARE: MR. JEFFREY DUBIN LISW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI0010235OH

General Provider Information

NPI Number : 1366696361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY DUBIN LISW-S
Provider Business Mailing Address
First Line : 1105 SCHROCK RD STE 400
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1174
Country : US
Telephone Number : 614-987-5620
Fax Number :
Provider Business Practice Location Address
First Line : 750 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1846
Country : US
Telephone Number : 614-340-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 10/27/2023

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