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General NPI Number Information
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NPI Number | 1720695760
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Entity Type | Individual
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Provider Name | ALLISON HEBERT LISW
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Gender | Female
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 249 E LIVINGSTON AVE STE B
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City | COLUMBUS
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State | OH
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Zip | 43215-5747
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Country | US
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Telephone | 513-515-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 5927 BAYTREE DR
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City | GALLOWAY
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State | OH
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Zip | 43119-9288
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Country | US
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Telephone | 513-515-2580
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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.2304772
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License Number State | OH
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