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General NPI Number Information
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NPI Number | 1568373710
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Entity Type | Individual
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Provider Name | LISA KAY MCDANIELS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1907 11TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4531
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Country | US
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Telephone | 513-941-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 6460 HARRISON AVE STE 200
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City | CINCINNATI
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State | OH
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Zip | 45247-7821
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.150113.MEDS-IV
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License Number State | OH
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