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General NPI Number Information
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NPI Number | 1285907592
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Entity Type | Individual
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Provider Name | DAVID J ROOT LISW-S
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Gender | Male
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 6641 N HIGH ST STE 205
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City | WORTHINGTON
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State | OH
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Zip | 43085-4038
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Country | US
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Telephone | 614-504-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 6441 N HIGH ST STE 205
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City | WORTHINGTON
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State | OH
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Zip | 43085-4038
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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 |
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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.1100210
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License Number State | OH
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