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General NPI Number Information
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NPI Number | 1427447325
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Entity Type | Individual
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Provider Name | DAWN RENEE PRIEST LISW
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Gender | Female
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 11660 UPPER GILCHRIST RD
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City | MOUNT VERNON
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State | OH
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Zip | 43050-9084
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Country | US
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Telephone | 740-399-8008
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Fax | 740-399-8012
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Provider Business Mailing Address
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Address Line | 14 MARCIA DR
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City | MOUNT VERNON
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State | OH
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Zip | 43050-1120
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Country | US
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Telephone | 740-627-0963
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2002249
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License Number State | OH
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