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General NPI Number Information
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NPI Number | 1639726458
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Entity Type | Individual
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Provider Name | TAIWANNIKA WALKER LISW-S
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 6213 FALLA DR
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-8545
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Country | US
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Telephone | 216-612-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 6031 E MAIN ST # 238
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City | COLUMBUS
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State | OH
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Zip | 43213-3590
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Country | US
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Telephone | 216-303-3665
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1904088
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2203486
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License Number State | OH
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