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General NPI Number Information
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NPI Number | 1518775667
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Entity Type | Individual
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Provider Name | MR. WYATT LABAN ARNETT
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Gender | Male
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 670 PEBBLE PLACE DRIVE APT M
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City | DELAWARE
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State | OH
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Zip | 43015
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Country | US
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Telephone | 614-743-3864
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Fax | 380-500-4614
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Provider Business Mailing Address
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Address Line | 607 PEBBLE PLACE DR APT M
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City | DELAWARE
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State | OH
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Zip | 43015-4203
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Country | US
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Telephone | 614-743-3864
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Fax | 380-500-4614
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 2574497
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License Number State | OH
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Taxonomy #3
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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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Taxonomy #4
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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.191569
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License Number State | OH
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