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NPI 1518480094

NPI 1518480094 : THOMAS GALPERIN LISW-S : MAINEVILLE, OH

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General NPI Number Information
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    NPI Number           |    1518480094
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS GALPERIN LISW-S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/17/2017
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    Last Update Date     |    11/15/2021
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Provider Practice Location Address
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    Address Line         |    8544 PONDRIDGE DR 
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    City                 |    MAINEVILLE
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    State                |    OH
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    Zip                  |    45039-8976
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    Country              |    US
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    Telephone            |    513-628-9060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8544 PONDRIDGE DR 
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    City                 |    MAINEVILLE
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    State                |    OH
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    Zip                  |    45039-8976
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    Country              |    US
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    Telephone            |    513-628-9060
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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       |    I.1700398
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    License Number State |    OH
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