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General NPI Number Information
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NPI Number | 1275224248
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Entity Type | Individual
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Provider Name | DAWN JOY LIVINGSTON BSW, MSW, CSW
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Gender | Female
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 1830 DESTINY LN STE 105
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City | BOWLING GREEN
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State | KY
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Zip | 42104-1088
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Country | US
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Telephone | 931-624-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 726 CUMBERLAND TRACE RD APT 1027
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City | BOWLING GREEN
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State | KY
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Zip | 42103-9145
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Country | US
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Telephone | 931-624-2472
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 257830
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License Number State | KY
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