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General NPI Number Information
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NPI Number | 1003515966
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Entity Type | Individual
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Provider Name | COLETTE L AUDAX SWT
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1251 NILLES RD STE 4AND5
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City | FAIRFIELD
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State | OH
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Zip | 45014-7206
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Country | US
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Telephone | 888-830-0347
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 THOMPSON HEIGHTS AVE APT 308
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City | CINCINNATI
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State | OH
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Zip | 45223-1678
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Country | US
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Telephone | 513-833-7814
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2504279-TRNE
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License Number State | OH
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