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General NPI Number Information
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NPI Number | 1447964481
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Entity Type | Individual
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Provider Name | DESHAUNA C ZANDERS
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1735 S HAWKINS AVE
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City | AKRON
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State | OH
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Zip | 44320-3902
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Country | US
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Telephone | 330-867-5400
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Fax | 330-869-8263
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Provider Business Mailing Address
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Address Line | 1279 ROULHAC CIR
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City | AKRON
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State | OH
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Zip | 44307-1129
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Country | US
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Telephone | 234-226-2165
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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.190707
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 7719432
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | RA.164334
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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 | OH
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