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General NPI Number Information
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NPI Number | 1750240495
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Entity Type | Individual
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Provider Name | BRANDI ALLEN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 130 E WILSON BRIDGE RD STE 320
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City | WORTHINGTON
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State | OH
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Zip | 43085-2385
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Country | US
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Telephone | 614-972-7928
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Fax |
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Provider Business Mailing Address
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Address Line | 252 E LAKEVIEW AVE
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City | COLUMBUS
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State | OH
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Zip | 43202-1268
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.0500028
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License Number State | OH
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