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General NPI Number Information
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NPI Number | 1598248015
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Entity Type | Individual
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Provider Name | ROBERT LLOYD YURISKO LISW-S, LICDC-CS
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Gender | Male
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 825 DENNISON AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-1315
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Country | US
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Telephone | 614-291-4691
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Fax | 614-291-6323
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Provider Business Mailing Address
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Address Line | 1470 KING AVE APT 7
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City | COLUMBUS
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State | OH
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Zip | 43212-2127
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Country | US
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Telephone | 614-291-4691
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Fax | 614-291-6323
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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.2405114-SUPV
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License Number State | OH
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