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General NPI Number Information
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NPI Number | 1306114632
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Entity Type | Individual
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Provider Name | SHAUNA ADAMS LISW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 100 NOE BIXBY RD
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City | COLUMBUS
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State | OH
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Zip | 43213-1460
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Country | US
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Telephone | 614-892-2454
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Fax | 614-892-2459
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Provider Business Mailing Address
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Address Line | 25738 TARLTON ADELPHI RD
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City | LAURELVILLE
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State | OH
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Zip | 43135-9718
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Country | US
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Telephone | 740-656-2049
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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 | S.1100398
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1440093
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License Number State | OH
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