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General NPI Number Information
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NPI Number | 1013222652
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Entity Type | Individual
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Provider Name | DOREEN MICHELLE PANT LISW-S
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Gender | Female
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 3335 MEIJER DR SUITE #450
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City | TOLEDO
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State | OH
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Zip | 43617-3104
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Country | US
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Telephone | 419-467-6361
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Fax | 419-671-8026
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Provider Business Mailing Address
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Address Line | 3335 MEIJER DR SUITE #450
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City | TOLEDO
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State | OH
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Zip | 43617-3104
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Country | US
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Telephone | 419-467-6361
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Fax | 419-671-8026
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I 0008533
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License Number State | OH
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