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General NPI Number Information
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NPI Number | 1407609522
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Entity Type | Individual
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Provider Name | EMILEE R MARSH COTA/L, MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 7777 YANKEE RD
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-3500
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Country | US
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Telephone | 513-368-4621
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Fax |
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Provider Business Mailing Address
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Address Line | 7675 MORROW COZADDALE RD
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City | MORROW
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State | OH
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Zip | 45152-8551
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Country | US
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Telephone | 513-368-4621
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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 |
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License Number State | OH
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