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General NPI Number Information
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NPI Number | 1043128713
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Entity Type | Individual
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Provider Name | JACOB DANIEL ANDERMAN MA, EDS
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Gender | Male
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4600 MADISON SCHOOL DR
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City | COLUMBUS
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State | OH
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Zip | 43232-5722
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Country | US
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Telephone | 614-833-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 MARKETING PL STE B
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City | GROVEPORT
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State | OH
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Zip | 43125-9308
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Country | US
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Telephone | 614-492-2520
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LSP.03292
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License Number State | OH
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