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General NPI Number Information
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NPI Number | 1063886273
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Entity Type | Individual
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Provider Name | RACHEL RUSSO STRUNK LISW-S, LICDC
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Gender | Female
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Dates
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Enumeration Date | 11/25/2015
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 1118 PENDLETON ST SUITE #440
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City | CINCINNATI
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State | OH
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Zip | 45202-7411
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Country | US
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Telephone | 513-356-9446
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Fax | 513-206-9681
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Provider Business Mailing Address
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Address Line | 1118 PENDLETON ST SUITE #440
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City | CINCINNATI
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State | OH
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Zip | 45202-7411
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Country | US
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Telephone | 513-356-9446
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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 | I.1801112-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1510116-TRNE
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License Number State | OH
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