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General NPI Number Information
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NPI Number | 1700734886
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Entity Type | Individual
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Provider Name | ANDREA J CAHILL
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Gender | Female
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 6296 EBERSTARK DR
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City | COLUMBUS
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State | OH
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Zip | 43235-5076
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Country | US
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Telephone | 419-733-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S SUGAR ST
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City | CELINA
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State | OH
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Zip | 45822-2135
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Country | US
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Telephone | 419-733-7400
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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.193680
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | APS.005837
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License Number State | OH
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