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General NPI Number Information
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NPI Number | 1487750428
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Entity Type | Individual
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Provider Name | JAMES J CANFIELD LISW-S
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 8040 HOSBROOK RD STE 320
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City | CINCINNATI
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State | OH
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Zip | 45236-2908
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Country | US
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Telephone | 513-861-9797
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Fax | 513-861-3510
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Provider Business Mailing Address
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Address Line | 8040 HOSBROOK RD STE 320
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City | CINCINNATI
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State | OH
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Zip | 45236-2908
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Country | US
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Telephone | 513-861-9797
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Fax | 513-861-3510
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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 | I.0009369.SUPV
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License Number State | OH
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