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General NPI Number Information
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NPI Number | 1396203683
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Entity Type | Individual
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Provider Name | MRS. ADRIANNA NOELLE KAYSER
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 4350 GALLIA ST
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City | NEW BOSTON
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-354-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 923 FINDLAY ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4148
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.169910
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | QMHS
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.173288
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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