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General NPI Number Information
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NPI Number | 1114023033
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Entity Type | Individual
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Provider Name | KELLEY M ARMBRUSTER LISW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7577 CENTRAL PARKE BLVD STE 313
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City | MASON
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State | OH
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Zip | 45040-6822
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Country | US
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Telephone | 513-770-0800
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Fax | 513-770-0888
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Provider Business Mailing Address
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Address Line | 5451 PRESCOTT CT
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City | MASON
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State | OH
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Zip | 45040-5633
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Country | US
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Telephone | 513-336-0614
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Fax | 513-770-0888
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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-0005603
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License Number State | OH
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