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General NPI Number Information
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NPI Number | 1578340915
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Entity Type | Individual
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Provider Name | MEREDITH BRINK MSW, LISW-S, PMH-C
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1460 MANNING PKWY
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City | POWELL
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State | OH
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Zip | 43065-9179
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Country | US
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Telephone | 614-383-8381
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 CHURCHBELL WAY
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City | COLUMBUS
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State | OH
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Zip | 43235-2158
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Country | US
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Telephone | 614-557-3377
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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.1501327
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License Number State | OH
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