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General NPI Number Information
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NPI Number | 1669986154
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Entity Type | Individual
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Provider Name | TARA NOVY CRAWFORD SWT
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Gender | Female
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 1430 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1045
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Country | US
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Telephone | 514-246-1216
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Fax |
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Provider Business Mailing Address
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Address Line | 4419 BRICKWOOD DR
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City | HILLIARD
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State | OH
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Zip | 43026-8807
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Country | US
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Telephone | 614-246-1216
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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 | S.2403370-TRNE
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License Number State | OH
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