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General NPI Number Information
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NPI Number | 1043121775
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Entity Type | Individual
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Provider Name | MCKINZIE SEVILLE
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 165 REYNOLDS AVE STE B
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-3005
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Country | US
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Telephone | 937-722-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 5982 RHODES RD
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City | KENT
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State | OH
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Zip | 44240-8100
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Country | US
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Telephone | 330-673-1347
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Fax | 330-678-3677
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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 |
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License Number State |
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