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General NPI Number Information
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NPI Number | 1578838256
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Entity Type | Organization
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Legal Business Name | MIDWEST SERVICES INC.
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 312 WALNUT ST SUITE 1600
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City | CINCINNATI
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State | OH
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Zip | 45202-4024
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Country | US
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Telephone | 513-762-7604
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Fax | 513-762-7605
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Provider Business Mailing Address
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Address Line | 312 WALNUT ST SUITE 1600
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City | CINCINNATI
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State | OH
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Zip | 45202-4024
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Country | US
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Telephone | 513-762-7604
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Fax | 513-762-7605
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BARBARA JO MANGES
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Credential | LISW, DCSW
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Telephone | 513-762-7604
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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.0003887
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License Number State | OH
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