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General NPI Number Information
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NPI Number | 1255293676
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Entity Type | Individual
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Provider Name | IVY M FLYNN LISW-S
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1126 W OHIO PIKE
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City | AMELIA
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State | OH
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Zip | 45102-9306
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Country | US
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Telephone | 513-232-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 WITTEKIND TER
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City | CINCINNATI
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State | OH
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Zip | 45224-2153
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Country | US
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Telephone | 513-509-7309
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Fax | 513-509-7309
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I.1500099
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License Number State | OH
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