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General NPI Number Information
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NPI Number | 1104152347
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Entity Type | Individual
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Provider Name | SHARON LATIMER LICDC-CS, ICCS, QMHS
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Gender | Female
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1951 STATE ROUTE 59 STE A
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City | KENT
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State | OH
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Zip | 44240-8128
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Country | US
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Telephone | 866-934-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY RD STE 400
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City | CINCINNATI
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State | OH
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Zip | 45212-2600
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CS-R.965762
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ICCS17545
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CS.00000385
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.965762
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License Number State | OH
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