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General NPI Number Information
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NPI Number | 1205777927
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE KIRKLAND
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 5690 KATHY RUN LN
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City | COLUMBUS
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State | OH
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Zip | 43229-6889
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Country | US
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Telephone | 614-961-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 12189 TAYLORS WAY
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City | PICKERINGTON
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State | OH
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Zip | 43147-3900
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Country | US
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Telephone | 614-623-9273
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2406014
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License Number State | OH
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