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General NPI Number Information
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NPI Number | 1629688684
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Entity Type | Individual
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Provider Name | DESHAWNA MARIE CARTER CASE MANAGER/QBS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 2225 N CASSADY AVE
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City | COLUMBUS
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State | OH
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Zip | 43219-1512
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Country | US
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Telephone | 614-999-1118
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Fax | 614-337-1186
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Provider Business Mailing Address
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Address Line | 1105 SCHROCK RD STE 100
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City | COLUMBUS
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State | OH
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Zip | 43229-1165
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Country | US
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Telephone | 614-999-1118
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Fax | 614-337-1186
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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