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General NPI Number Information
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NPI Number | 1962920876
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Entity Type | Individual
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Provider Name | MARLAYNA DAWN ADAMIC MSSA,MSW, LISW-S
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Gender | Female
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 254 MAIN ST
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City | BYESVILLE
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State | OH
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Zip | 43723-1308
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Country | US
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Telephone | 740-340-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 2845 BELL ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1720
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Country | US
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Telephone | 740-454-9766
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Fax | 740-588-6452
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1610096-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1903351
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2103032-SUPERVISOR
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2103032
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License Number State | OH
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