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General NPI Number Information
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NPI Number | 1710845730
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Entity Type | Organization
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Legal Business Name | REDEFINING EMPOWERMENT CENTER INC. (REC)
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 1561 OLD LEONARD AVE
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City | COLUMBUS
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State | OH
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Zip | 43219-2580
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Country | US
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Telephone | 614-655-4300
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Fax | 614-695-5300
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Provider Business Mailing Address
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Address Line | 520 HILL RD N UNIT 182
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City | PICKERINGTON
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State | OH
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Zip | 43147-6508
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Country | US
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Telephone | 614-655-4300
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Fax | 614-695-5300
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Authorized Official
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Title or Position | CEO & CHIEF CLINICAL MENTAL HEALTH
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Name | DR. JESSE SANDERS
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Credential | PH.D.
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Telephone | 614-655-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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