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General NPI Number Information
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NPI Number | 1437782760
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Entity Type | Individual
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Provider Name | MINDY ANNE BATTLES LISW
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Gender | Female
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 100 DAWN LN
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City | WAVERLY
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State | OH
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Zip | 45690-9138
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Country | US
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Telephone | 740-947-2186
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Fax |
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Provider Business Mailing Address
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Address Line | 5151 GOODHOPE RD
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City | FRANKFORT
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State | OH
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Zip | 45628-9529
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Country | US
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Telephone | 740-804-6476
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | I.18000914
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License Number State | OH
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