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General NPI Number Information
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NPI Number | 1760239164
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Entity Type | Individual
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Provider Name | TAIIJON SOWELL
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Gender | Male
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 1710 EASTFIELD DR N
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City | COLUMBUS
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State | OH
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Zip | 43223-3716
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Country | US
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Telephone | 740-260-3146
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 EASTFIELD DR N
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City | COLUMBUS
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State | OH
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Zip | 43223-3716
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Country | US
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Telephone | 740-260-3146
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State | OH
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