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General NPI Number Information
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NPI Number | 1740167303
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Entity Type | Individual
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Provider Name | ZOEY LYNNE RODEFFER
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 241 PADDOCK CT STE B
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City | DELAWARE
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State | OH
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Zip | 43015-1317
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Country | US
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Telephone | 740-363-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 4080 SELDOM SEEN RD
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City | POWELL
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State | OH
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Zip | 43065-9856
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Country | US
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Telephone |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.006663
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License Number State | OH
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