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General NPI Number Information
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NPI Number | 1720734262
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Entity Type | Individual
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Provider Name | ADENA LORENA LPC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 3030 W FORK RD BLDG 2
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City | CINCINNATI
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State | OH
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Zip | 45211-1944
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Country | US
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Telephone | 513-586-1257
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Fax |
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Provider Business Mailing Address
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Address Line | 1394 CROTTY CT APT 2
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City | CINCINNATI
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State | OH
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Zip | 45255-3056
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Country | US
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Telephone | 513-546-2099
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2305104
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License Number State | OH
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