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General NPI Number Information
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NPI Number | 1033906987
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Entity Type | Individual
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Provider Name | MICHELLE A GABBARD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 10/09/2025
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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 | 45206-2504
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Country | US
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Telephone | 513-961-4863
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Fax |
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Provider Business Mailing Address
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Address Line | 548 RACHEL DR
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City | HAMILTON
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State | OH
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Zip | 45013-4183
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Country | US
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Telephone | 513-442-6430
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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.2513010
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 002442
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | FPS000051
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 163788
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 003147
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 185436
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License Number State | OH
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