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General NPI Number Information
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NPI Number | 1174596407
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Entity Type | Individual
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Provider Name | ELIZABETH ANN LIPPITT LISW LICDC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4039 HAMILTON AVE SUITE 309
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City | CINCINNATI
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State | OH
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Zip | 45223-2601
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Country | US
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Telephone | 513-505-2446
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Fax | 513-542-0616
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Provider Business Mailing Address
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Address Line | 4384 INNES AVE
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City | CINCINNATI
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State | OH
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Zip | 45223-1710
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Country | US
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Telephone | 513-542-1577
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Fax | 513-542-0616
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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-0008955
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License Number State | OH
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