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General NPI Number Information
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NPI Number | 1083236566
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Entity Type | Individual
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Provider Name | CHRISTOPHER NEAL PALCSAK MSW, LISW
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Gender | Male
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 100 E CAMPUS VIEW BLVD STE 250
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City | COLUMBUS
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State | OH
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Zip | 43235-4682
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Country | US
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Telephone | 614-594-8759
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Fax | 614-748-0625
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Provider Business Mailing Address
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Address Line | 149 W PACEMONT RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1011
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Country | US
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Telephone | 303-815-8498
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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.1802504
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License Number State | OH
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