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General NPI Number Information
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NPI Number | 1437182755
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Entity Type | Individual
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Provider Name | NZINGHA DALILA ED.D,PCC-S,LCOC-III
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 2751 O'VARSITY WAY
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City | CINCINNATI
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State | OH
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Zip | 45221-0001
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Country | US
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Telephone | 513-558-7700
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Fax | 513-558-5055
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Provider Business Mailing Address
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Address Line | PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-6200
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Fax | 513-245-3672
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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 | LCDC.091004-3
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | E0500349
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LCDCIII091004
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0500349-SUPV
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License Number State | OH
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