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General NPI Number Information
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NPI Number | 1568095925
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Entity Type | Individual
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Provider Name | CARISSA DAWN GEHRING
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Gender | Female
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 11156 CANAL RD
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City | CINCINNATI
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State | OH
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Zip | 45241-5815
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Country | US
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Telephone | 513-772-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 6517 STATE ROUTE 132 APT B
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City | GOSHEN
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State | OH
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Zip | 45122-9270
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Country | US
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Telephone | 513-266-6585
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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