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General NPI Number Information
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NPI Number | 1053921361
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Entity Type | Individual
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Provider Name | KEYASIA C DOWNS LISW
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 2303 MEADOW VILLAGE DR
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City | COLUMBUS
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State | OH
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Zip | 43235-4913
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Country | US
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Telephone | 614-992-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 9805 STATESVILLE RD # 6266
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City | CHARLOTTE
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State | NC
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Zip | 28269-7647
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Country | US
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Telephone | 980-200-5978
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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 | S.1903737
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2203438
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License Number State | OH
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