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General NPI Number Information
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NPI Number | 1720850381
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Entity Type | Individual
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Provider Name | DONALD ALLENSWORTH-DAVIES PHD, MSC, CPRS
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Gender | Male
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 11775 GLENCOE ST NW
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City | CANAL FULTON
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State | OH
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Zip | 44614-9627
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Country | US
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Telephone | 440-381-4661
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Fax |
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Provider Business Mailing Address
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Address Line | 11775 GLENCOE ST NW
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City | CANAL FULTON
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State | OH
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Zip | 44614-9627
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Country | US
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Telephone | 440-381-4661
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2406205-TRNE
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License Number State | OH
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Taxonomy #2
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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.184824
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License Number State | OH
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Taxonomy #3
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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 #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.004570
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License Number State | OH
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