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NPI Code Detail

MEDICARE: CANDICE D ANDERSON

MEDICARE: CANDICE D ANDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoulaOH

General Provider Information

NPI Number : 1205792827
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE D ANDERSON
Provider Business Mailing Address
First Line : 2303 DUNKIRK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1328
Country : US
Telephone Number : 614-439-1738
Fax Number :
Provider Business Practice Location Address
First Line : 2303 DUNKIRK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1328
Country : US
Telephone Number : 614-439-1738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2025
Last Update Date : 12/27/2025

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Directions to “ CANDICE D ANDERSON ” Practice Location

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