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General NPI Number Information
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NPI Number | 1699892455
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Entity Type | Individual
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Provider Name | JONI LYNN SIVEY M.S., M.S.W, LSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 700 BROOKSEDGE BLVD
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City | WESTERVILLE
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State | OH
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Zip | 43081-2820
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Country | US
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Telephone | 614-882-9338
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Fax | 614-882-3401
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Provider Business Mailing Address
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Address Line | 4065 INDIANOLA AVE
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City | COLUMBUS
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State | OH
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Zip | 43214-3161
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Country | US
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Telephone | 614-715-6721
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.166938
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.1802207
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License Number State | OH
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