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General NPI Number Information
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NPI Number | 1417503160
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Entity Type | Individual
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Provider Name | SALAMATA WAIGA LISW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 10921 REED HARTMAN HWY STE 133
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City | BLUE ASH
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State | OH
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Zip | 45242-2851
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Country | US
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Telephone | 513-984-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 6902 TERRYLYNN LN
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City | CINCINNATI
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State | OH
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Zip | 45239-5684
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Country | US
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Telephone | 859-893-3222
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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.1900922-TRNE
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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 | 257460
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2304236
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License Number State | OH
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