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General NPI Number Information
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NPI Number | 1629377387
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Entity Type | Individual
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Provider Name | PEGGY LYNNE MYERS LISW-S
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1890 NORTHWEST BLVD
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City | COLUMBUS
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State | OH
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Zip | 43212-1637
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Country | US
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Telephone | 614-397-8926
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Fax |
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Provider Business Mailing Address
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Address Line | 5559 RUSSELL FORK DR
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City | DUBLIN
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State | OH
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Zip | 43016-8326
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Country | US
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Telephone | 614-749-8086
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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 | 0904010777
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | I0005610
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | I.0005610-SUPV
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License Number State | OH
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