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General NPI Number Information
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NPI Number | 1285131888
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Entity Type | Individual
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Provider Name | AMANDA HENKE LSW
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Gender | Female
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 585 NEEB RD
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City | CINCINNATI
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State | OH
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Zip | 45233-4610
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Country | US
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Telephone | 513-922-1485
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Fax | 513-922-3330
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE ML5021
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4225
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Fax | 513-636-2511
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | I.2304835
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License Number State | OH
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