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General NPI Number Information
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NPI Number | 1013119189
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Entity Type | Individual
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Provider Name | REJEANA HAYNES
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 840 W STATE ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1442
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Country | US
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Telephone | 614-221-7855
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Fax | 614-221-8797
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Provider Business Mailing Address
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Address Line | 3100 REMINGTON RIDGE RD
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City | COLUMBUS
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State | OH
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Zip | 43232-5669
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Country | US
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Telephone | 614-237-6796
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I7320
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License Number State | OH
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