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NPI Code Detail

MEDICARE: REBECCA BAIR

MEDICARE:   REBECCA  BAIR
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
11041C0700XClinical Social WorkerS.1501223OH
21041C0700XClinical Social WorkerI.1901507OH

General Provider Information

NPI Number : 1952753527
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BAIR
Provider Business Mailing Address
First Line : 230 E TOWN ST STE 210
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4657
Country : US
Telephone Number : 614-412-1002
Fax Number : 614-358-9792
Provider Business Practice Location Address
First Line : 230 E TOWN ST STE 210
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4657
Country : US
Telephone Number : 614-412-1002
Fax Number : 614-358-9792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 01/20/2023

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Directions to “ REBECCA BAIR ” Practice Location

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