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General NPI Number Information
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NPI Number | 1568135424
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Entity Type | Individual
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Provider Name | JODI ANN HARDIN LSW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 757 COLUMBUS AVE
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City | LEBANON
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State | OH
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Zip | 45036-1607
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Country | US
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Telephone | 937-902-5813
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Fax |
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Provider Business Mailing Address
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Address Line | 220 S BREIEL BLVD
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City | MIDDLETOWN
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State | OH
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Zip | 45044-5106
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Country | US
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Telephone | 937-902-5813
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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 | S.1700176
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License Number State | OH
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