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General NPI Number Information
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NPI Number | 1700696515
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Entity Type | Individual
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Provider Name | DIANA WILCOX DSW
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 60 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10010-1600
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Country | US
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Telephone | 866-764-8657
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Fax |
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Provider Business Mailing Address
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Address Line | 222 HARTER AVE
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City | CINCINNATI
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State | OH
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Zip | 45246-2408
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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 | DP00947085
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2405746
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34011405A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 259698
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License Number State | KY
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