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General NPI Number Information
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NPI Number | 1376720342
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Entity Type | Individual
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Provider Name | NEIL D. TRASK MSSW
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Gender | Male
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 7373 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45230-4100
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Country | US
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Telephone | 513-624-8000
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Fax | 513-624-8006
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Provider Business Mailing Address
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Address Line | PO BOX 54942
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City | CINCINNATI
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State | OH
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Zip | 45254-0942
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Country | US
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Telephone | 513-624-8000
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Fax | 513-624-8006
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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 | LISW-I 3362
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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 | 34001969
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License Number State | IN
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