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General NPI Number Information
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NPI Number | 1366927048
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Entity Type | Individual
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Provider Name | ANNA HOUSE LSW
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2052 PRINCETON RD
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City | FAIRFIELD TOWNSHIP
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State | OH
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Zip | 45011-4746
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Country | US
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Telephone | 513-863-6383
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Fax | 513-863-9882
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Provider Business Mailing Address
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Address Line | 1020 SYMMES RD
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City | FAIRFIELD
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State | OH
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Zip | 45014-1844
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Country | US
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Telephone | 513-645-4578
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Fax | 513-883-1546
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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 | 104929
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2410413
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License Number State | OH
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