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General NPI Number Information
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NPI Number | 1275290181
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Entity Type | Individual
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Provider Name | LINDA R SUMMERS CDCA
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Gender | Female
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Dates
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Enumeration Date | 11/27/2021
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 8044 MONTGOMERY RD STE 120
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City | CINCINNATI
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State | OH
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Zip | 45236-2919
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Country | US
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Telephone | 513-607-5128
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Fax | 888-832-2040
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Provider Business Mailing Address
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Address Line | 8044 MONTGOMERY RD STE 120
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City | CINCINNATI
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State | OH
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Zip | 45236-2919
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Country | US
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Telephone | 513-607-5128
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Fax | 888-832-2040
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.186486
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | FPS.000092
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.002266
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License Number State | OH
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