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General NPI Number Information
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NPI Number | 1659878221
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Entity Type | Individual
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Provider Name | RAE DAMRON LSW
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Gender | Female
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1034 HARRISBURG PIKE
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City | COLUMBUS
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State | OH
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Zip | 43223-2525
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Country | US
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Telephone | 614-276-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 6857 POLPIS RD
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-7180
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Country | US
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Telephone | 210-740-7890
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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.1803221
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License Number State | OH
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