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General NPI Number Information
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NPI Number | 1235431685
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Entity Type | Individual
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Provider Name | TRACY ANDERSON LSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 6025 FRANTZ RD
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City | DUBLIN
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State | OH
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Zip | 43017-1302
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Country | US
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Telephone | 614-948-3273
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Fax | 855-740-2025
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Provider Business Mailing Address
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Address Line | 623 PARK MEADOW RD STE H
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City | WESTERVILLE
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State | OH
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Zip | 43081-2876
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Country | US
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Telephone | 614-948-3273
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Fax | 855-740-2025
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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 | S0800628
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License Number State | OH
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