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General NPI Number Information
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NPI Number | 1912828559
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Entity Type | Individual
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Provider Name | EDWARD DUNAWAY
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Gender | Male
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 4770 INDIANOLA AVE
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City | COLUMBUS
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State | OH
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Zip | 43214-1862
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Country | US
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Telephone | 614-323-6134
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Fax |
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Provider Business Mailing Address
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Address Line | 2064 TUPSFIELD RD
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City | COLUMBUS
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State | OH
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Zip | 43229-3816
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Country | US
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Telephone | 614-323-6134
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | D45526885
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License Number State | OH
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