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General NPI Number Information
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NPI Number | 1275664864
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Entity Type | Organization
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Legal Business Name | SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4429 PROFESSIONAL PKWY
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City | GROVEPORT
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State | OH
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Zip | 43125-9228
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Country | US
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Telephone | 614-836-2434
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Fax | 614-836-2766
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Provider Business Mailing Address
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Address Line | 8120 BOWERS RD
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City | AMANDA
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State | OH
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Zip | 43102-9567
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | DONALD SCOTT CAMPBELL
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Credential | M.S.W., L.S.W.
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Telephone | 740-969-2857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | S0025315
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License Number State | OH
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