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General NPI Number Information
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NPI Number | 1659869683
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Entity Type | Individual
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Provider Name | SUSAN ANN BISCHOFF LISW
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Gender | Female
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 838 E WOOSTER ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-3186
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Country | US
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Telephone | 419-354-7221
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Fax |
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Provider Business Mailing Address
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Address Line | 950 W WOOSTER ST STE 320
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2603
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Country | US
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Telephone | 419-373-7607
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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 | S20936
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License Number State | OH
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