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General NPI Number Information
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NPI Number | 1033697164
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Entity Type | Individual
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Provider Name | CHLOE ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 2211 FULTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45206
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Country | US
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Telephone | 513-961-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 1497 CANDLEWOOD DR
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City | PITTSBURGH
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State | PA
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Zip | 15241-2954
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Country | US
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Telephone | 412-398-9248
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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.1903420
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License Number State | OH
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