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General NPI Number Information
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NPI Number | 1164258539
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Entity Type | Individual
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Provider Name | INDIA BRANDON LSW
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Gender | Female
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 10999 REED HARTMAN HWY STE 207
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City | BLUE ASH
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State | OH
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Zip | 45242-8301
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Country | US
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Telephone | 404-452-8751
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 W GALBRAITH RD APT 11
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City | CINCINNATI
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State | OH
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Zip | 45231-5693
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Country | US
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Telephone | 404-452-8751
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | S.2403982-TRNE
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2512414
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License Number State | OH
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