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General NPI Number Information
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NPI Number | 1528721800
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Entity Type | Individual
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Provider Name | KALEY YUTZY
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Gender | Female
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1784 GALLO DR
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City | POWELL
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State | OH
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Zip | 43065-8819
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Country | US
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Telephone | 614-940-4559
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Fax |
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Provider Business Mailing Address
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Address Line | 657 S OHIO AVE
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City | COLUMBUS
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State | OH
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Zip | 43205-2743
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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.2506403
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License Number State | OH
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