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General NPI Number Information
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NPI Number | 1043419237
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Entity Type | Organization
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Legal Business Name | URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAM OF CINCINNATI
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2230 PARK AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2784
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Country | US
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Telephone | 513-541-7099
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Fax | 513-541-0989
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Provider Business Mailing Address
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Address Line | 2230 PARK AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2784
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Country | US
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Telephone | 513-541-7099
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Fax | 513-541-0989
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Authorized Official
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Title or Position | CEO, EXECUTIVE DIRECTOR
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Name | PATRICIA BROWN
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Credential |
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Telephone | 513-541-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1036
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1036
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License Number State | OH
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