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General NPI Number Information
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NPI Number | 1417664608
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Entity Type | Individual
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Provider Name | SUSAN ALPAJON
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Gender | Female
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 7058 CORPORATE WAY STE 3
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City | DAYTON
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State | OH
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Zip | 45459-4243
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Country | US
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Telephone | 937-991-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 163 ANDERSON FERRY RD APT 90
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City | CINCINNATI
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State | OH
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Zip | 45238-5917
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Country | US
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Telephone | 513-835-9942
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CDCA.184677
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.188324
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.003351
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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