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General NPI Number Information
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NPI Number | 1699139048
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Entity Type | Individual
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Provider Name | ANDREA ROSE FORD MSW, LISW-S
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 1624 TIFFIN AVE
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City | FINDLAY
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State | OH
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Zip | 45840-6852
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Country | US
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Telephone | 419-262-8713
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Fax |
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Provider Business Mailing Address
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Address Line | 10100 ELIDA RD
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City | DELPHOS
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State | OH
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Zip | 45833-9056
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2102570-SUPV
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License Number State | OH
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