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General NPI Number Information
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NPI Number | 1447116835
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Entity Type | Individual
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Provider Name | SUSAN ELLEN AUTRAN LSW
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 3345 WHITFIELD AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2083
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Country | US
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Telephone | 513-601-8930
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Fax |
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Provider Business Mailing Address
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Address Line | 3929 HAZEL AVE
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City | CINCINNATI
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State | OH
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Zip | 45212-3827
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Country | US
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Telephone | 513-704-0182
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2207839
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License Number State | OH
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