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General NPI Number Information
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NPI Number | 1598247280
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Entity Type | Individual
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Provider Name | MICHELE E PRATT MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 3250 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45207-1457
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Country | US
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Telephone | 513-363-8400
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Fax | 513-363-8420
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Provider Business Mailing Address
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Address Line | 3250 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45207-1457
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Country | US
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Telephone | 513-363-8400
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Fax | 513-363-8420
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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 | I.2405237
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License Number State | OH
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