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General NPI Number Information
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NPI Number | 1083405567
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Entity Type | Individual
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Provider Name | ELIZABETH A. BAUER MSW, LISW, CT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2135 DANA AVE STE 215&220
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City | CINCINNATI
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State | OH
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Zip | 45207-1313
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Country | US
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Telephone | 855-271-7891
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Fax |
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Provider Business Mailing Address
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Address Line | 808 OAK CANYON DR
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City | LOVELAND
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State | OH
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Zip | 45140-7168
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Country | US
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Telephone | 513-225-3353
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2203806
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License Number State | OH
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