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General NPI Number Information
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NPI Number | 1184598948
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Entity Type | Organization
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Legal Business Name | THE BETTY J DACONS FOUNDATION, INC.
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 3840 NATURES SHORE DR APT 205
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City | COLUMBUS
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State | OH
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Zip | 43219-3967
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Country | US
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Telephone | 614-940-2829
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Fax |
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Provider Business Mailing Address
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Address Line | 3840 NATURES SHORE DR APT 205
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City | COLUMBUS
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State | OH
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Zip | 43219-3967
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Country | US
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Telephone | 614-940-2829
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHAVELA DAVIS
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Credential | LSW
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Telephone | 614-738-4594
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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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