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General NPI Number Information
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NPI Number | 1467102475
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Entity Type | Individual
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Provider Name | KARA MESSMORE LISW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 800-344-2462
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Fax |
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Provider Business Mailing Address
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Address Line | 284 FAIRWAY DR
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City | DRY RIDGE
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State | KY
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Zip | 41035-8505
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Country | US
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Telephone | 937-573-7619
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 256335
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1500252
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License Number State | OH
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