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General NPI Number Information
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NPI Number | 1578002754
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Entity Type | Organization
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Legal Business Name | NATIONAL YOUTH ADVOCATE PROGRAM, INC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14 N 5TH ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-3503
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Country | US
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Telephone | 740-755-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 WATERMARK DR STE 200
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City | COLUMBUS
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State | OH
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Zip | 43215-7088
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Country | US
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Telephone | 888-202-2965
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Fax |
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Authorized Official
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Title or Position | MEDICAID BILLING SPECIALIST II
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Name | MICHELLE YVONNE LIZARDI
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Credential | CPC
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Telephone | 614-227-9430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | OH
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