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General NPI Number Information
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NPI Number | 1194415117
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Entity Type | Organization
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Legal Business Name | COMPASSION COLLABORATIVE, LLC
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 2010 MADISON RD STE 200
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City | CINCINNATI
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State | OH
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Zip | 45208-3219
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Country | US
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Telephone | 513-268-7248
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Fax |
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Provider Business Mailing Address
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Address Line | 6457 GLENWAY AVE STE 195
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City | CINCINNATI
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State | OH
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Zip | 45211-5233
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Country | US
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Telephone | 513-268-7248
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Fax |
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Authorized Official
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Title or Position | LICENSED INDEPENDENT SOCIAL WORKER
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Name | MS. ALLISON SCHULTZ
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Credential | LISW
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Telephone | 513-268-7248
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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 |
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License Number State |
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