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General NPI Number Information
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NPI Number | 1710190418
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Entity Type | Individual
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Provider Name | JOHN NIEHAUS L.I.S.W.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 130 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-381-6611
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Fax | 513-381-7818
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Provider Business Mailing Address
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Address Line | 130 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-381-6611
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Fax | 513-381-7818
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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-1815
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | KY SW 163
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F0500018
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | SW 163
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License Number State | KY
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