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General NPI Number Information
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NPI Number | 1013874759
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Entity Type | Individual
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Provider Name | SAVANNAH SHIVELEY
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2345 ASHLAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2204
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Country | US
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Telephone | 513-767-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 GEORGIA CT APT 2
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City | CINCINNATI
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State | OH
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Zip | 45223-1559
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Country | US
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Telephone | 937-213-2665
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 257863
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S.2207411
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License Number State | OH
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