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General NPI Number Information
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NPI Number | 1578428942
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Entity Type | Organization
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Legal Business Name | PHILAUTIA TD
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 9132 PEACHBLOSSOM CT
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City | CINCINNATI
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State | OH
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Zip | 45231-4811
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Country | US
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Telephone | 513-824-1948
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Fax | 513-662-7808
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Provider Business Mailing Address
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Address Line | 9132 PEACHBLOSSOM CT
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City | CINCINNATI
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State | OH
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Zip | 45231-4811
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Country | US
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Telephone | 513-824-1948
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Fax | 513-662-7808
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Authorized Official
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Title or Position | CEO
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Name | TERESA NMN NARED
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Credential |
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Telephone | 513-824-1948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health 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 | 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 #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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