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General NPI Number Information
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NPI Number | 1427132463
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Entity Type | Individual
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Provider Name | MAREN BLEVINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1000 N BROADWAY
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City | PERU
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State | IN
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Zip | 46970-1070
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Country | US
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Telephone | 574-722-5151
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Fax | 574-739-1414
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Provider Business Mailing Address
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Address Line | 2355 S BUSINESS 31
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City | PERU
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State | IN
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Zip | 46970-8985
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Country | US
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Telephone | 574-722-5151
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Fax | 574-739-1414
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 | 34005356A
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License Number State | IN
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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 |
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License Number State |
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