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General NPI Number Information
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NPI Number | 1437002227
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Entity Type | Organization
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Legal Business Name | CINCINNATI VIBRANT YOUTH PROJECT
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 10050 WOODLAWN BLVD
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City | CINCINNATI
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State | OH
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Zip | 45215-1394
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Country | US
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Telephone | 513-771-7713
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Fax |
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Provider Business Mailing Address
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Address Line | 10273 ROBERTA DR
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City | CINCINNATI
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State | OH
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Zip | 45215-1040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ EXECUTIVE DIRECTOR
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Name | DAWNETRA BLACKWELL
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Credential |
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Telephone | 513-696-2549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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