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General NPI Number Information
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NPI Number | 1407512882
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Entity Type | Individual
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Provider Name | ALICIA FARKAS MSSA, LSW
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Gender | Female
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 2416 WHIPPLE AVE NW
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City | CANTON
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State | OH
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Zip | 44708-1514
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Country | US
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Telephone | 330-305-2753
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Fax |
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Provider Business Mailing Address
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Address Line | 10176 HESS MILL RD NE APT D
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City | BOLIVAR
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State | OH
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Zip | 44612-8658
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Country | US
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Telephone | 330-280-4574
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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.2005524
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License Number State | OH
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