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General NPI Number Information
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NPI Number | 1609667278
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Entity Type | Individual
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Provider Name | ANDREW CURTIS ATWELL CPRS / CDCA
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Gender | Male
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2611 WAYNE AVE
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City | DAYTON
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State | OH
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Zip | 45420-1833
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Country | US
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Telephone | 937-256-7801
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Fax | 937-303-0990
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Provider Business Mailing Address
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Address Line | 122 GROVE AVE
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City | DAYTON
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State | OH
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Zip | 45404-1933
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Country | US
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Telephone | 937-559-3282
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.004403
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License Number State | OH
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Taxonomy #2
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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.189087
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License Number State | OH
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