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General NPI Number Information
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NPI Number | 1518431162
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Entity Type | Individual
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Provider Name | PALAS SPEARMAN CDCA, MFT-T
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 12/02/2023
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Provider Practice Location Address
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Address Line | 3012 GLENMORE AVE STE 104
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City | CINCINNATI
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State | OH
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Zip | 45238-2258
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Country | US
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Telephone | 513-443-1679
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Fax | 513-719-0012
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Provider Business Mailing Address
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Address Line | 1074 MEADOWIND CT
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City | CINCINNATI
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State | OH
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Zip | 45231-4607
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Country | US
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Telephone | 513-702-5176
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | M.2200322-TRNE
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License Number State | OH
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