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General NPI Number Information
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NPI Number | 1407375090
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Entity Type | Individual
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Provider Name | KEYANA RENEE ACHEAMPONG LISW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 5800 MONROE ST STE 2
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City | SYLVANIA
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State | OH
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Zip | 43560-2263
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Country | US
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Telephone | 419-343-7737
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MCAULEY PL STE 600
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City | BLUE ASH
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State | OH
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Zip | 45242-4778
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Country | US
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Telephone | 419-251-0707
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1803013
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License Number State | OH
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