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General NPI Number Information
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NPI Number | 1730437179
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Entity Type | Individual
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Provider Name | ROBERTA ALLEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 1701 MERCY HEALTH PL
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City | CINCINNATI
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State | OH
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Zip | 45237-6147
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Country | US
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Telephone | 513-853-8520
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 MERCY HEALTH PL
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City | CINCINNATI
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State | OH
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Zip | 45237-6147
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Country | US
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Telephone | 513-853-8520
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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 | 149.015417
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License Number State | IL
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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 | I.2203986
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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 | 0904014606
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License Number State | VA
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