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General NPI Number Information
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NPI Number | 1427595727
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Entity Type | Individual
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Provider Name | PATSY MCDONALD LICDC-CS, LSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 601 UNDERWOOD ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-3771
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Country | US
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Telephone | 740-454-1266
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Fax | 740-454-7650
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Provider Business Mailing Address
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Address Line | 601 UNDERWOOD ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-3771
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Country | US
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Telephone | 740-454-1266
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Fax | 740-454-7650
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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 | 943873
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S12692
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License Number State | OH
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