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General NPI Number Information
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NPI Number | 1487516225
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Entity Type | Organization
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Legal Business Name | INCEPTION AT COMPANY
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1263 PARSONS AVE
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City | COLUMBUS
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State | OH
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Zip | 43206-3639
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Country | US
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Telephone | 614-312-3693
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Fax |
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Provider Business Mailing Address
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Address Line | 646 BULEN AVE
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City | COLUMBUS
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State | OH
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Zip | 43205-2525
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Country | US
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Telephone | 614-601-0425
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOVONTE HARRIS
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Credential | CFPS, CBH
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Telephone | 614-601-0425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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