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General NPI Number Information
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NPI Number | 1619835717
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Entity Type | Organization
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Legal Business Name | COMMUNITY 333
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 755 E WHITTIER ST APT 304
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City | COLUMBUS
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State | OH
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Zip | 43206-2990
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Country | US
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Telephone | 380-215-8786
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Fax | 380-215-8786
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Provider Business Mailing Address
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Address Line | 755 E WHITTIER ST APT 304
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City | COLUMBUS
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State | OH
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Zip | 43206-2990
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Country | US
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Telephone | 380-215-8786
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Fax | 380-215-8786
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Authorized Official
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Title or Position | MANAGER
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Name | MS. SYMONE NADINE SMITH
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Credential |
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Telephone | 380-215-8786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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