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General NPI Number Information
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NPI Number | 1902486327
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Entity Type | Organization
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Legal Business Name | JOSEPH PANZNER LISW, LLC
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 1115 BETHEL RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2690
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Country | US
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Telephone | 614-636-2367
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Fax | 614-670-5095
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Provider Business Mailing Address
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Address Line | 6722 ELMERS CT
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City | WORTHINGTON
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State | OH
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Zip | 43085-2976
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Country | US
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Telephone | 330-730-1256
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JOSEPH PANZNER
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Credential | LISW
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Telephone | 614-636-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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